Korean Journal of Gastrointestinal Endoscopy 1999;19(6): 990-995.
악성 복수 및 간 전이를 동반한 췌장의 Mucinous Ductal Ectasia 1예 ( A Case of Mucinous Ductal Ectasia of the Pancreas Associated with Malignant Ascites and Liver Metastasis )
소군호(Kun Ho So),진교현(Gyo Hyun Jin),김서종(Seo Jong Kim),고정석(Jeong Seok Ko),신규석(Kyu Suck Shin),김봉석(Bong Seog Kim),두창준(Chang Joon Doo),변종훈(Jong Hoon Byun),김미영(Mi Young Kim),김명환(Myung Hwan Kim)
Abstract
A 71-year-old man was admitted due to abdominal distension and periumbilical pain. He was diagnosed as having mucinous ductal ectasia (MDE) of the pancreas three months prior, but refused an operation. Three months later, an abdominal computed tomography revealed more dilated pancreatic duct, newly developed liver metastasis and ascites in comparison with previous findings. Fine-needle aspiration cytology of the cystic lesion in the pancreatic head was conducted and yielded adenocarcinoma. Also, an ascitic fluid cytology determined adenocarcinoma. This patient was diagnosed to be inoperable and received palliative chemotherapy and pain control. The patient expired 5 months after the initial diagnosis. (Korean J Gastrointest Endosc 19: 990∼995, 1999)
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