Intraductal papillary-mucinous carcinoma (IPMC) coincidentally found with a pseudocyst at the hilum of the spleen: a case report

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  • 脾門部仮性嚢胞を契機に発見された膵管内乳頭粘液性腺癌（ＩＰＭＣ）の１例

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Abstract

A 71-year-old man, who had been followed-up for chronic alcoholic pancreatitis, was admitted to the hospital under the diagnosis of sternoclavicular arthritis. Chest X-ray revealed left pleural effusion. Computed tomography demonstrated a pancreatic pseudocyst at the hilum of the spleen. ERCP demonstrated a villous tumor at the duodenal papilla, and the pathohistology of the biopsy specimens revealed adenocarcinoma. The main pancreatic duct was remarkably dilatated at the pancreatic head, and an inner filling defect was observed. PPPD was performed, and intraductal papillary-mucinous carcinoma was diagnosed pathologically. When a pancreatic pseudocyst is observed, it is necessary to consider the possibility of pancreatic cancer and an intraductal papillary-mucinous tumor (IPMT).<br>

Journal

  • Suizo

    Suizo 21 (5), 426-431, 2006

    Japan Pancreas Society

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