ID | 55610 |
Sort Key | 5
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タイトル(別表記) | Two cases of solid-pseudopapillary neoplasm of the pancreas with contrasting imaging findings
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フルテキストURL | |
著者 |
河合 毅
岡山大学大学院医歯薬学総合研究科 消化器外科学
遠藤 芳克
姫路赤十字病院
渡邉 貴紀
姫路赤十字病院
甲斐 恭平
姫路赤十字病院
佐藤 四三
姫路赤十字病院
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抄録 | 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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キーワード | 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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備考 | 症例報告(Case Report)
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出版物タイトル |
岡山医学会雑誌
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発行日 | 2017-12-01
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巻 | 129巻
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号 | 3号
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出版者 | 岡山医学会
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出版者(別表記) | Okayama Medical Association
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開始ページ | 171
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終了ページ | 177
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ISSN | 0030-1558
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NCID | AN00032489
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資料タイプ |
学術雑誌論文
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関連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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言語 |
日本語
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著作権者 | Copyright (c) 2017 岡山医学会
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論文のバージョン | publisher
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査読 |
有り
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DOI | |
NAID | |
Eprints Journal Name | joma
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