Korean Journal of Gastrointestinal Endoscopy 1999;19(5): 843-847.
정상 십이지장경 소견을 보인 췌장의 Mucinous Ductal Ectasia 2예 ( Two Cases of Mucinous Ductal Ectasia of Pancreas with Normal Duodenoscopic Findings )
정성희(Sung Hee Jung),김홍자(Hong Ja Kim),최재원(Jae Won Choe),임병철(Byeong Cheol Lim),박은택(Eun Taek Park),이경노(Kung No Lee),서동완(Dong Wan Seo),이성구(Sung Koo Lee),김명환(Myung Whan Kim),민영일(Young Il Min)
Abstract
Fairly specific and important duodenoscopic findings for diagnosing mucinous ductal ectasia (MDE) of pancreas include a prominant ampulla, patulous ampullary orifice and extrusion of mucin through the ampulla. However, we have experienced two cases of mucinous ductal ectasia without these pathognomonic appearance of ampulla. Initially, two cases were admitted for evaluation of pancreatic multicystic lesions, and MDE was incidentally found. Their pancreatographic findings showed normal main duct and cystic dilatation confined to the branch ducts. On gross findings of surgical specimens, a duct dilatation with gelatinous mucin was localized at the uncinate process of the pancreas. Microscopically, the ductal epithelia containing mucin were lined with well-differentiated tall columnar cells showing focal hyperplastic change. We report these unusual cases of MDE with review of the literatures. (Korean J Gastrointest Endosc 19: 843∼847, 1999)
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