Laparoscopic enucleation of pancreatic Schwannoma preoperatively diagnosed by EUS-FNB
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- ABE Toshiya
- Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
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- NAKATA Kohei
- Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
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- SHIGEMATSU Keiichi
- Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
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- NAKAMURA So
- Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
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- IDENO Noboru
- Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
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- IKENAGA Naoki
- Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
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- FUJIMORI Nao
- Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University
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- RYU Shinichiro
- Department of Surgery, Chihaya Hospital
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- SHIMADA Yuki
- Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University
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- ODA Yoshinao
- Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University
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- NAKAMURA Masafumi
- Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
Bibliographic Information
- Other Title
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- 術前に診断しえた膵頭部神経鞘腫に対して腹腔鏡下核出術を施行した1例
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Description
<p>A 48-year-old woman with abdominal pain presented for a detailed examination because abdominal ultrasonography revealed a mass in the head of the pancreas. Contrast-enhanced CT scan showed a 15mm solid mass with delayed enhancement on the ventral side of the pancreatic head and T2-weighted MRI showed a high intensity mass. EUS showed a 15mm hypoechoic well-circumscribed mass in the pancreatic head. Based on these imaging findings, a pancreatic tumor was suspected, possibly a neuroendocrine tumor or solid pseudopapillary tumor, but further diagnosis was difficult. Therefore, EUS-FNB was performed and histopathology showed proliferated spindle cells arranged in fascicles with positive for protein S-100 on immunohistostaining, consistent with a pancreatic Schwannoma. With the history of abdominal pain, a decision was made to proceed with surgery and laparoscopic enucleation successfully performed. Final histopathological evaluation showed a pancreatic Schwannoma without malignancy. She was discharged on postoperative day 12 without complications and has no abdominal pain or recurrence 1 year postoperatively.</p>
Journal
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- Suizo
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Suizo 38 (4), 279-285, 2023-08-31
Japan Pancreas Society
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Details 詳細情報について
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- CRID
- 1390016339424953600
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- ISSN
- 18812805
- 09130071
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- OpenAIRE
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- Abstract License Flag
- Disallowed