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Korean J Gastrointest Endosc > Volume 40(1); 2010 > Article
Korean Journal of Gastrointestinal Endoscopy 2010;40(1): 62-67.
급성 췌장염으로 발현된 췌장 상피내 종양 1예
이동욱ㆍ정재권ㆍ은동엽ㆍ이정수ㆍ이재광ㆍ박상만ㆍ김현수ㆍ구미진*
대구파티마병원 내과, *병리과
A Case of Pancreatic Intraepithelial Neoplasia Presenting as Aucte Pancreatitis
Dong Wook Lee, M.D., Jae Kwon Jung, M.D., Dong Yeub Eun, M.D., Jung Soo Lee, M.D., Jae Kwang Lee, M.D., Sang Man Park, M.D., Hyun Soo Kim, M.D. and Mi Jin Gu, M.D.*
Departments of Internal Medicine and *Pathology, Daegu Fatima Hospital, Daegu, Korea
Abstract
Pancreatic intraepithelial neoplasia (PanIN) is a precancerous lesion. A 72-year old man was admitted to our hospital because of abdominal pain, and he had an elevated serum level of pancreatic amylase. ERCP showed a focal stricture of the main pancreatic duct without upstream dilatation in the body of the pancreas. Cytologic evaluation with an endoscopic brush at the stricture suggested the presence of adenocarcinoma. After subtotal pancreatectomy, the features of PanIN were observed in the branch pancreatic duct. ERCP with brush cytology seems to be a useful method for detecting PanIN at the precancerous stage. We report here on a case of PanIN associated with a stricture of the main pancreatic duct. (Korean J Gastrointest Endosc 2010;40:62-67)
Key Words: Pancreatic intraepithelial neoplasia, Endoscopic retrograde cholangiopancreatography, Acute pancreatitis, Brush cytology
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