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Korean J Gastrointest Endosc > Volume 42(6); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(6): 433-436.
낭종성 종괴로 발견된 췌체부의 원발성 선편평상피암종 1예
손준혁ㆍ이상협ㆍ차병효§ㆍ황진혁ㆍ이윤빈ㆍ윤유석*ㆍ김소연ㆍ김혜령
분당 서울대학교병원 내과, *외과, 영상의학과, 병리과, §제주한라병원 내과
Adenosquamous Carcinoma of the Pancreas: A Case Report
Jun Hyuk Son, M.D., Sang Hyub Lee, M.D., Byung Hyo Cha, M.D.§, Jin Hyeok Hwang, M.D., Yun Bin Lee, M.D., Yoo Seok Yoon, M.D*, So Yeon Kim, M.D. and Hae Ryoung Kim, M.D.
Departments of Internal Medicine, *Surgery, Radiology, Pathology, Seoul National University Bundang Hospital, Seongnam, §Department of Internal Medicine, Cheju Halla General Hospital, Cheju, Korea
Abstract
Adenosquamous carcinoma of the pancreas is a rare tumor, which is difficult to diagnose. A 65-year-old man was admitted complaining of abdominal pain. Abdominal computed tomography (CT) demonstrated a cystic mass in the pancreatic body. Endoscopic ultrasound (EUS) showed an approximate 1.0 cm-sized hypoechoic cystic mass with a solid portion in the pancreatic body and narrowing of the main pancreatic duct. Under the impression of acute pancreatitis with a pseudocyst diagnosis, medical therapy including pancreatic stent insertion was administered to the patient for 4 weeks. A distal pancreatectomy was performed with the suspicion of pancreatic cancer due to the remaining mass on a follow-up CT scan, and the tumor was histopathologically diagnosed as stage I (TNM classification) adenosquamous carcinoma of the pancreatic body. The patient was discharged without any problems and has been on follow-up without recurrence. We report a case of adenosquamous carcinoma of the pancreas that was diagnosed relatively early with the help of EUS.
Key Words: Adenosquamous carcinoma, Pancreatic cancer, Pseudocyst, Stage I, Endoscopic ultrasound
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