Pancreatic Serous Cystadenoma with Pancreatic Duct Stenosis-A Case Report-
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Pancreatic serous cystadenoma is benign and does not invade the pancreatic duct, but occasionally causes pancreatic stenosis by compression, making it sometimes difficult to discriminate from a malignant tumor. We report a case of this disease causing pancreatic duct stenosis. A 55-year-old woman reporting appetite loss and having serum amylase of 798IU/<I>l</I> and CEA of 8.4ng/ml was found in abdominal computed tomography and magnetic resonance image to have a 1cm pancreatic mass and endoscopic retrograde cholangiopancreatography showed pancreatic duct stenosis at the mass site. Abdominal angiography showed no abnormalities. Distal pancreatectomy with splenectomy was done based on a diagnosis of pancreatic tumor in which malignancy could not be denied. The resected specimen showed a 10×12mm white solid mass containing small microserous cysts and found microscopically to be serous cystadenoma. Most cases of this disease with pancreatic duct stenosis involve a tumor at the pancreatic head and body and smaller tumors as complicated pancreatitis, making malignancy difficult to diagnose.
- 一般社団法人 日本消化器外科学会の論文
一般社団法人 日本消化器外科学会 | 論文
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