Korean J Gastrointest Endosc > Volume 22(2); 2001 > Article

Korean Journal of Gastrointestinal Endoscopy 2001;22(2): 121-125.

증례 : 부췌관에서 발생한 Intraductal Papillary Mucinous Tumor ( IPMT ) 1예 ( A Case of Intraductal Papillary Mucinous Tumor Arising from the Accessory Pancreatic Duct )

강호형(Ho Hyung Kang),박성제(Seong Je Park),이장교(Chang Gyo Lee),이영미(Young Mi Lee),김순종(Sun Jong Kim),나비석(Bi Seok Nha),서일우(Il Woo Suh),박경하(Kyoung Ha Park),송희곤(Hee Gon Song),강재명(Jae Myung Kang),주연호(Yeon Ho Joo),서동완(Dong Wan Seo),이성구(Sung Koo Lee),김명환(Myung Hwan Kim),민영일(Young Il Min),김태경(Tae Kyoung Kim),유은실(Eun Sil Yu)

Abstract

Mucin-producing tumors of the pancreas were first reported by Ohhashi and Takagi in 1980. Since then, many cases of intraductal papillary mucinous tumor (IPMT) of the pancreas, which is almost homonymous to mucin-producing tumors of the pancreas, have been reported. IPMTs are generally regarded as tumors with a favorable prognosis. Some IPMTs have invasiveness and this is always associated with a poor prognosis. Most IPMTs arise from the main pancreatic duct and IPMTs arising from the accessory pancreatic duct are relatively rare, Only 6 cases have been reported in the literature so far. Our patient was a 43-year old man who was admitted to the hospital due to recurrent pancreatitis. An endoscopic retrograde pancreatography revealed a patulous minor papilla orifice extruding mucin and a cystic lesion in a branch of the accessory duct. A pancreaticoduodenectomy was performed and a pathologic examination of the resected specimen showed intraductal papaillary mucinous neoplasm, low grade malignancy, in the accessory pancreatic duct and its branch. We herein report this interesting case with a review of the literature. (Korean J Gastrointest Endosc 2001;22:121 - 125)