<症例>脾内進展を示した膵尾部癌の1切除例

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A 31-year-old housewife complaining of severe, continuous pain in the left upper quadrant of the abdomen was admitted to a hospital on March 15,1986. A large mass occupying the left abdominal cavity was evidenced on ultrasonography of the abdomen, and she was transferred to our clinic on April 7,1986. Neither laboratory data nor physical examination suggested the origin of the mass. By means of imaging techniques such as computed tomography, etc., a malignant neoplasm arising from the pancreatic tail or spleen was highly suspected. After admission, the patient developed left hydrothorax and had suffered from fever attacks. A continuous suction drainage of the left thoracic cavity and administration of antibiotics were ineffective against fever attacks. Abdominal exploration was carried out on April 16,1986. A large mass arising from the pancreatic tail and developing into the spleen was resected ; some invaded areas into the retroperitoneum remained in situ. The resected specimen was an 18×12×9 cm mass, weighing 1,150 g, whose cross section revealed a hard yellow-whitish neoplasm. The upper portion of the spleen showed an appearance of infarction necrosis. Pathohistologically, the mass was poorly differentiated ductal carcinoma of the pancreas, and necrotic materials mixed with cancer cells were demonstrated in the spleen. Her postoperative course was uneventful. Although resectable cases of a large-sized carcinoma arising from the pancreatic tail have been rare, a possible resection may be palliative for a patient having complications such as hydrothorax, fever attacks, and so on.
近畿大学の論文
1987-03-25

<症例>脾内進展を示した膵尾部癌の1切除例

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