Intraductal Papillary Mucinous Tumor Simultaneously Involving the Liver and Pancreas - A Case Report -
박봉희, 서재희, 차희정, 김영민, 최혜정,
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박봉희 ( Park Bong-Hee )
울산대학교 의과대학 서울아산병원 병리학교실
서재희 ( Suh Jae-Hee )
울산대학교 의과대학 울산대학교병원 병리학교실
차희정 ( Cha Hee-Jung )
울산대학교 의과대학 울산대학교병원 병리과
김영민 ( Kim Young-Min )
울산대학교 의과대학 울산대학교병원 병리학과
최혜정 ( Choi Hye-Jeong )
울산대학교 의과대학 병리학교실
KMID : 0357920100440010083
Abstract
We describe here a 67-year-old man who was diagnosed with a rare case of intraductal papillary mucinous tumors that occurred simultaneously in the liver and pancreas. Abdominal computed tomography showed a tubular and cystic dilatation of the pancreatic duct in the pancreas tail, which suggested an intraductal papillary mucinous tumor (IPMT), and multiple intrahepatic duct stones. The patient underwent a distal pancreatectomy with splenectomy and a lateral segmentectomy of the liver. Microscopic examination showed an intraductal papillary mucinous neoplasms of borderline malignancy in the pancreas and a non-invasive intraductal papillary mucinous tumor with moderate dysplasia of the bile duct. Although several cases of intraductal papillary mucinous neoplasm of the liver (IPNL) without any pancreatic association have been described, the simultaneous presentation of both IPMT of the pancreas and IPNL is very rare. The patient has been doing well for 10 months postoperatively.
키워드
Pancreas;Bile ducts;Liver;Intraductal papillary mucinous;Neoplasms
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