급성췌장염으로 첫 임상 발현한 1A 병기 췌장암
Stage 1A Pancreatic Cancer Initially Manifesting as Clinical Acute Pancreatitis
유동열, 김지훈, 백승호, 이지우, 남소혜, 이세희, 김명환,
소속 상세정보
유동열 ( Yoo Dong-Ryeol )
울산대학교 의과대학 서울아산병원 내과
김지훈 ( Kim Ji-Hoon )
울산대학교 의과대학 서울아산병원 병리과
백승호 ( Baek Seung-Ho )
울산대학교 의과대학 서울아산병원 내과
이지우 ( Lee Ji-Woo )
울산대학교 의과대학 서울아산병원 내과
남소혜 ( Nam So-Hye )
울산대학교 의과대학 서울아산병원 내과
이세희 ( Lee Se-Hee )
울산대학교 의과대학 서울아산병원 내과
김명환 ( Kim Myung-Hwan )
울산대학교 의과대학 서울아산병원 내과
Abstract
Pancreatic cancer has a poor prognosis due to the difficulty of early diagnosis. Observation is recommended for early diagnosis of pancreatic cancer in elderly patients with risk factors such as newly diagnosed diabetes and chronic pancreatitis. A 66-year-old male suffered from acute pancreatitis of uncertain etiology. Initial pancreatic imaging showed a main pancreatic duct stricture at the pancreas body/tail junction and minimal duct dilatation without a visible mass. Eight months later, however, pancreatic imaging revealed a pancreatic mass at the previous stricture site with progression of the upstream duct dilation. The patient underwent distal pancreatectomy, and a pathologic examination showed stage 1A pancreatic cancer with a predominantly intraductal spreading pattern. We report a case of stage 1A pancreatic cancer that initially manifested as acute obstructive pancreatitis, which enabled early diagnosis of pancreatic cancer.
키워드
Early diagnosis; Pancreatic cancer; Carcinoma, pancreatic ductal; Acute pancreatitis
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