Korean Journal of Gastrointestinal Endoscopy 1999;19(6): 983-989.
십이지장으로 국소 침윤된 췌장의 고형 유두상 상피 종양 1예 ( A Case of a Solid and Papillary Epithelial Neoplasm of the Pancreas with Local Invasion into the Duodenum )
김형주(Hyung Ju Kim),이숭(Soong Lee),최수인(Soo In Choi),박상후(Sang Hoo Park),김상국(Sang Kuk Kim),장안수(Soo In Choi),양승원(Seong Won Yang),서정평(Jeong Pyeong Seo),박홍배(Hong Bae Park),박영규(Young Kyu Park),정종재(Jong Jae Jung)
Abstract
A solid and papillary epithelial neoplasm of the pancreas is a very rare and low-grade type of malignancy, although an increasing number of cases have been reported in recent years. Patients with a solid and papillary epithelial neoplasm of the pancreas have a good prognosis and may be cured if the disease is diagnosed before metastasis and diffuse local invasion. A 23-year-old female who had a 4-year history of recurrent abdominal pain, was admitted due to lower abdominal pain. Incidentally a calcified, 6 4 cm sized ovoid mass was found in the right upper quadrant, from a simple abdominal X-ray. An ERCP, abdominal sonography, and CT were performed, as well as a pylorus preserving pancreatoduodenectomy. Gross pathologic examination revealed a well encapsulated mass with cystic degeneration and hemorrhagic necrosis. Microscopically, the tumor had papillary fronds with a fibrovascular connective tissue core. There was focal infiltration of tumor cells into the duodenal wall and heterotropic pancreatic tissue in the submucosa. Immunohistochemistry revealed positivity for neuron-specific enolase. The patient maintained a healthy status for one year since the operation. (Korean J Gastrointest Endosc 19: 983∼989, 1999)
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