ID | 55610 |
Sort Key | 5
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Title Alternative | Two cases of solid-pseudopapillary neoplasm of the pancreas with contrasting imaging findings
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FullText URL | |
Author |
Kawai, Takashi
Department of Gastroenterological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Endo, Yoshikatu
Japanese Red Cross Society Himeji Hospital
Watanabe, Takanori
Japanese Red Cross Society Himeji Hospital
Kai, Kyohei
Japanese Red Cross Society Himeji Hospital
Sato, Shiso
Japanese Red Cross Society Himeji Hospital
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Abstract | A solid pseudo-papillary tumor of the pancreas is a rare neoplasm which mainly occurs in young women. Here, we report two cases of solid-pseudopapillary neoplasm of the pancreas (SPN) with contrasting imaging findings. One was a 59-year-old woman having no symptomatic complaint with a pancreatic cystic tumor in the tail. The tumor was 60 mm in diameter with a cyst composed of a calcified wall and low-density content which was poorly perfused on contrast-enhanced computed tomography (CT). We diagnosed SPN based on imaging findings and performed distal pancreatectomy. Histology revealed SPN, and the patient had two years of recurrence -free survival (RFS). The other case was a 34-year-old man with an asymptomatic solid tumor in the pancreatic tail. Contrast-enhanced CT showed low peripheral attenuation of a 25-mm solid tumor, with the main duct dilated distal from tumor. We diagnosed him with pancreatic cancer with atypical image findings. Pathological findings revealed SPN, and the patient had five years of RFS. Small-sized SPN is being increasingly recognized because of the recent advances in CT and MRI. We should consider SPN even if it occurs in a male, and endoscopic ultrasound -guided fine-needle aspiration has recently been reported to be useful in diagnosing SPN.
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Keywords | 膵SPN(solid-pseudopapillary neoplasm of the pancreas)
EUS-FNA(endoscopic ultrasound-guided fine needle aspiration)
成人男性(male)
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Note | 症例報告(Case Report)
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Publication Title |
Journal of Okayama Medical Association
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Published Date | 2017-12-01
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Volume | volume129
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Issue | issue3
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Publisher | 岡山医学会
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Publisher Alternative | Okayama Medical Association
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Start Page | 171
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End Page | 177
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ISSN | 0030-1558
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NCID | AN00032489
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Content Type |
Journal Article
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Related Url | isVersionOf https://doi.org/10.4044/joma.129.171
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OAI-PMH Set |
岡山大学
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language |
Japanese
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Copyright Holders | Copyright (c) 2017 岡山医学会
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File Version | publisher
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Refereed |
True
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DOI | |
NAID | |
Eprints Journal Name | joma
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