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
en Ko
| WPRIM
| ID: wpr-47322
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Páncreas
/
Fosfopiruvato Hidratasa
/
Pronóstico
/
Píloro
/
Inmunohistoquímica
/
Dolor Abdominal
/
Colangiopancreatografia Retrógrada Endoscópica
/
Pancreaticoduodenectomía
/
Neoplasias Glandulares y Epiteliales
/
Tejido Conectivo
Tipo de estudio:
Prognostic_studies
Límite:
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Año:
1999
Tipo del documento:
Article