A Case of a Solid and Papillary Epithelial Neoplasm of the Pancreas with Local Invasion into the Duodenum / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 983-989, 1999.
Article
in Korean
| WPRIM
| ID: wpr-47322
ABSTRACT
A solid and papillary epithelial neoplasm of the pancreas is a very rare and low-grade type of malignancy, although an increasing number of cases have been reported in recent years. Patients with a solid and papillary epithelial neoplasm of the pancreas have a good prognosis and may be cured if the disease is diagnosed before metastasis and diffuse local invasion. A 23-year-old female who had a 4-year history of recurrent abdominal pain, was admitted due to lower abdominal pain. Incidentally a calcified, 6 4 cm sized ovoid mass was found in the right upper quadrant, from a simple abdominal X-ray. An ERCP, abdominal sonography, and CT were performed, as well as a pylorus preserving pancreatoduodenectomy. Gross pathologic examination revealed a well encapsulated mass with cystic degeneration and hemorrhagic necrosis. Microscopically, the tumor had papillary fronds with a fibrovascular connective tissue core. There was focal infiltration of tumor cells into the duodenal wall and heterotropic pancreatic tissue in the submucosa. Immunohistochemistry revealed positivity for neuron-specific enolase. The patient maintained a healthy status for one year since the operation.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreas
/
Phosphopyruvate Hydratase
/
Prognosis
/
Pylorus
/
Immunohistochemistry
/
Abdominal Pain
/
Cholangiopancreatography, Endoscopic Retrograde
/
Pancreaticoduodenectomy
/
Neoplasms, Glandular and Epithelial
/
Connective Tissue
Type of study:
Prognostic study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
1999
Type:
Article
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