거짓낭 제거술 후 췌두부에 발생한 외상신경종 - 짧은 증례 보고 -
Traumatic Neuroma in the Pancreas Head Following Excision of Pseudocyst - A Brief Case Report -
김정원, 최가원, 황정은, 강신광, 한덕종, 장세진,
소속 상세정보
김정원 ( Kim Jeong-Won )
울산대학교 의과대학 서울아산병원 병리과
최가원 ( Choi Ga-Won )
울산대학교 의과대학 서울아산병원 병리과
황정은 ( Hwang Jeong-Eun )
울산대학교 의과대학 서울아산병원 병리과
강신광 ( Kang Shin-Kwang )
울산대학교 의과대학 서울아산병원 병리과
한덕종 ( Han Duck-Jong )
울산대학교 의과대학 서울아산병원 외과학교실
장세진 ( Jang Se-Jin )
울산대학교 의과대학 서울아산병원 병리과
KMID : 0357920060400050385
Abstract
We describe here a case of traumatic neuroma that developed in the pancreas head as a rare complication of pancreatic surgery for pseudocyst. A 50-year-old man presented with septic shock. The patient was a heavy drinker with history of operation for pancreatic pseudocyst 28 years ago. On the radiologic examinations, a poorly defined mass-like lesion was found in the uncinate process of pancreas, and it had features of chronic pancreatitis and a stricture of the distal common bile duct. Whipple’s operation was performed due to the diagnosis of suspected pancreas head cancer. The pancreas revealed an ill-demarcated 4 cm sized firm mass with grayish white fibrotic cut surface in the head portion. On the microscopic examination, the mass was composed of haphazard proliferations of nerve fascicles in a fibrocollagenous matrix and this case was diagnosed as traumatic neuroma. Although traumatic neruoma is a rare cause of a pancreatic mass, it should be included as a differential diagnosis of pancreatic mass in patients with a history of pancreatic surgery.
키워드
Neoplasms; Post-Traumatic;Neuroma;Pancreatic Pseudocyst
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