Poorly Vascularized Malignant Insulinoma Displaced the Pancreatic Ducts around the Mass on Endoscopic Retrograde Cholangiopancreatography
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概要
- 論文の詳細を見る
A 66-year-old woman with an altered mental status caused by hypoglycemia was referred to Akita City Hospital. Abdominal ultrasonography (US) and endoscopic US revealed an isoechoic mass measuring 25 mm in the head of the pancreas. Endoscopic retrograde Cholangiopancreatography (ERCP) revealed that the main pancreatic duct and its branches were displaced around the mass in the head of the pancreas. On arteriography, a poorly vascularized tumor was observed. Dynamic contrast-enhanced computed tomography (CT) showed a low-attenuation mass in the head of the pancreas. A pylorus-preserving pancreaticoduodenectomy was performed. Microscopically, the diagnosis was malignant insulinoma.(Internal Medicine 40: 28-31, 2001)
- 社団法人 日本内科学会の論文
著者
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Kuramitsu Tomoyuki
Center Of Diagnostic Ultrasound Akita Red Cross Hospital
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KOMATSU Masafumi
Akita City General Hospital
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Kuramitsu Tomoyuki
Second Department Of Internal Medicine Akita City Hospitall
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Kuramitsu Tomoyuki
Department Of Gastroenterology Red Cross Hospital
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Zeniya Akira
Second Department Of Internal Medicine Akita City Hospitall
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Otani Setsuya
Second Department Of Internal Medicine Akita City Hospitall
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Yoshida Tsukasa
Second Department Of Internal Medicine Akita City Hospitall
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NAGANUMA Toshio
Second Division of Internal Medicine, Akita City Hospital
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ITO Seiji
First Department of Surgery, Akita City Hospital
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MATSUDAIRA Naoya
Department of Radiology, Akita City Hospital
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KANO Masafumi
Department of Pathology, Akita City Hospital
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KOMATSU Masafumi
Second Department of Internal Medicine, Akita City Hospitall
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Matsudaira Naoya
Department Of Radiology Akita City Hospital
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Naganuma Toshio
Second Department Of Internal Medicine Akita City Hospitall
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Komatsuda Tomoya
Department Of Gastroenterology Akita Red Cross Hospital
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Komatsu Masafumi
Department Of Pathology Akita City Hospital
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Ito Seiji
First Department Of Surgery Akita City Hospital
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