Korean Journal of Gastrointestinal Endoscopy 1988;8(1): 63-69.
염증성 국소 췌장 종괴 3예 ( 3 Cases of Focal Pancreatic Masses Demonstrated a Inflammation - Problems in differentiating focal pancreatitis from carinoma - )
안재형, 김병호, 장영운, 이정일, 장린, 민영일 (Jae Hyung Ahn, Byung Ho Kim, Young Woon Chang, Jung Il Lee, Rin Chang and Young Il Min)
Abstract
When ultrasound or computed tomographic (CT) scans demonstrate a focal mass within the pancreas, the radiologist or gastroenterologist assumes that it is carcinoma. Statistically this is the correct diagnosis. However, distinguishing pancreatitis from carcinoma by ultrasound and CT is occassionally impossible. Similarly, abnormalities seen on ERCP, such as simultaneous obstruction of both the common bile duct and adjacent pancreatic duct (double duct sign), has been shown to occur in pancreatitis as well as in the more commonly diagnosed pancreatic carcinoma. We experienced 3 cases af focal pancreatic masses that mistaken a carcinoma. And so, knowledge that such a mass can be benign in a clinical setting sbould result in an organiged approach to the correct diagnosis and avoidance of any unnecessary operations.
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