<front xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="http://jats.nlm.nih.gov/publishing/1.1/xsd/JATS-journalpublishing1-mathml3.xsd" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">
    <journal-meta>
      <journal-id journal-id-type="publisher-id">CRIPA</journal-id>
      <journal-title-group>
        <journal-title>Case Reports in Pathology</journal-title>
      </journal-title-group>
      <issn pub-type="epub">2090-679X</issn>
      <issn pub-type="ppub">2090-6781</issn>
      <publisher>
        <publisher-name>Hindawi</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.1155/2019/2648123</article-id>
      <article-id pub-id-type="publisher-id">2648123</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Case Report</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Pancreatic Inflammatory Pseudotumor-Like Follicular Dendritic Cell Tumor</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" id="U14917965">
          <name>
            <surname>Mograbi</surname>
            <given-names>Madison</given-names>
          </name>
          <email>MograbM@evms.edu</email>
          <xref ref-type="aff" rid="I1">
            <sup>1</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" id="U89017890">
          <name>
            <surname>Stump</surname>
            <given-names>Michael S.</given-names>
          </name>
          <email>Msstump@Carilionclinic.org</email>
          <xref ref-type="aff" rid="I2">
            <sup>2</sup>
          </xref>
          <xref ref-type="aff" rid="I3">
            <sup>3</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" id="U80267820">
          <name>
            <surname>Luyimbazi</surname>
            <given-names>David T.</given-names>
          </name>
          <email>dtluyimbazi@carilionclinic.org</email>
          <xref ref-type="aff" rid="I2">
            <sup>2</sup>
          </xref>
          <xref ref-type="aff" rid="I4">
            <sup>4</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" id="U36134059">
          <name>
            <surname>Shakhatreh</surname>
            <given-names>Mohammad H.</given-names>
          </name>
          <email>MHShakhatreh@Carilionclinic.org</email>
          <xref ref-type="aff" rid="I5">
            <sup>5</sup>
          </xref>
        </contrib>
        <contrib contrib-type="author" id="U25480564" corresp="yes">
          <contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6346-094X</contrib-id>
          <name>
            <surname>Grider</surname>
            <given-names>Douglas J.</given-names>
          </name>
          <email>djgrider@carilionclinic.org</email>
          <xref ref-type="aff" rid="I2">
            <sup>2</sup>
          </xref>
          <xref ref-type="aff" rid="I3">
            <sup>3</sup>
          </xref>
        </contrib>
        <contrib contrib-type="Academic Editor" id="U90806946">
          <name>
            <surname>Palmer</surname>
            <given-names>Cheryl Ann</given-names>
          </name>
        </contrib>
      </contrib-group>
      <aff id="I1">
        <sup>1</sup>
        <addr-line>Eastern Virginia Medical School</addr-line>
        <addr-line>Norfolk, VA</addr-line>
        <country>USA</country>
        <ext-link ext-link-type="domain-name">evms.edu</ext-link>
      </aff>
      <aff id="I2">
        <sup>2</sup>
        <addr-line>Department of Basic Science Education</addr-line>
        <addr-line>Virginia Tech Carilion School of Medicine</addr-line>
        <addr-line>Roanoke, VA</addr-line>
        <country>USA</country>
        <ext-link ext-link-type="domain-name">vt.edu</ext-link>
      </aff>
      <aff id="I3">
        <sup>3</sup>
        <addr-line>Dominion Pathology Associates</addr-line>
        <addr-line>Roanoke, VA</addr-line>
        <country>USA</country>
      </aff>
      <aff id="I4">
        <sup>4</sup>
        <addr-line>Department of Surgery</addr-line>
        <addr-line>Carilion Clinic and Virginia Tech Carilion School of Medicine</addr-line>
		<addr-line>Roanoke, VA</addr-line>
        <country>USA</country>
        <ext-link ext-link-type="domain-name">carilionclinic.org</ext-link>
      </aff>
      <aff id="I5">
        <sup>5</sup>
        <addr-line>Gastroenterology Division</addr-line>
        <addr-line>Department of Medicine</addr-line>
        <addr-line>Carilion Clinic and Virginia Tech Carilion School of Medicine</addr-line>
		<addr-line>Roanoke, VA</addr-line>
        <country>USA</country>
        <ext-link ext-link-type="domain-name">carilionclinic.org</ext-link>
      </aff>
      <pub-date pub-type="publication-year">
        <year>2019</year>
      </pub-date>
      <pub-date pub-type="archival-date"><day>5</day><month>12</month><year>2019</year>
      </pub-date>
      <volume>2019</volume>
      <history>
        <date date-type="received">
          <day>26</day>
          <month>7</month>
          <year>2019</year>
        </date>
        <date date-type="accepted">
          <day>4</day>
          <month>10</month>
          <year>2019</year>
        </date>
        <date date-type="pub"><day>5</day><month>12</month><year>2019</year>
        </date>
      </history>
      <permissions>
        <copyright-year>2019</copyright-year>
        <copyright-holder>Copyright &#x00A9; 2019 Madison Mograbi et al.</copyright-holder>
        <license xlink:href="http://creativecommons.org/licenses/by/4.0/">
          <license-p>This is an open access article distributed under the <ext-link xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License</ext-link>, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <abstract>
        <p>Follicular dendritic cell sarcoma (FDCS) is a rare and underdiagnosed malignant neoplasm which characteristically presents as a solitary, slow-growing mass with no discrete symptoms. Histologically, lymphocytes and spindle cells featuring large nucleoli in a whorled pattern are usually seen. FDCS is classically found in cervical and axillary lymph nodes, with occasional involvement of extranodal sites. Inflammatory pseudotumor-like follicular dendritic cell tumor (IPT-like FDCT) is an uncommon subcategory of this neoplasm, demonstratively linked to the Epstein-Barr virus (EBV). This neoplasm can present similarly to FDCS, but systemic symptoms may be seen. Although, often found in the spleen and occasionally the liver, IPT-like FDCT has not previously been described within the pancreas. Presented, is an IPT-like FDCT of the pancreas and spleen of a 70 years old woman. Histologic features include variably sized geographic suppurative granulomas with chronic inflammatory cells and an atypical spindle cell proliferation with prominent nucleoli. Positivity for CD45 and CD68 in the larger spindled cells points to an inflammatory pseudotumor subtype and co-expression of CD21, CD23, and CD35 were indicative of follicular dendritic differentiation. The pseudotumor additionally demonstrated EBV-encoded RNA (EBER) positivity typical of IPT-like FDCT. Differentiation between inflammatory pseudotumor (IPT) and inflammatory myofibroblastic tumor (IMT) is additionally discussed.</p>
      </abstract>
      <counts>
        <fig-count count="5" />
        <table-count count="0" />
        <ref-count count="13" />
        <page-count count="5" />
      </counts>
    </article-meta>
  </front>