다발성 낭종을 형성한 역형성 췌장암 1예 |
백정훈1, 최자성1, 천송욱1, 강버들1, 한기준1, 정진호2, 송지선3, 조재희1 |
관동대학교 의과대학 1내과학교실, 2외과학교실, 3병리학교실" |
A Case of Multifocal Cyst Forming Anaplastic Carcinoma of the Pancreas |
Jung Hun Baek1, Ja Sung Choi1, Song Wook Chun1, Beo Deul Kang1, Ki Jun Han1, Jin ho Jeong2, Ji Sun Song3, Jae Hee Cho1 |
lDepartment of 1Internal Medicine, 2General Surgery, and 3Pathology, Kwandong University College of Medicine, Goyang, Korea |
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ABSTRACT |
Anaplastic carcinomas of the pancreas are rare pancreatic tumors, frequently showing various morphologies that include pleomorphic epithelial cells and relatively mononuclear spindle cell. Because they have highly aggressive nature and worse prognosis, it is important to recognize this disease entity. 68- year-old woman admitted for the treatment of epigastric pain and weight loss. Initial CT scan showed that 9 x 5.5 cm sized pancreatic cystic mass in tail and about 1.5 cm sized two cysts in head and neck. Because additional imaging study such as MRI and endoscopic ultrasonography showed large cystic mass had a possibility of malignant mucinous cystadenocarcinoma, we planned to distal pancreatectomy. However, frozen biopsy of each pancreatic cystic wall showed malignant pleomorphic cells, therefore, she underwent total pancreatectomy for the treatment of anaplastic carcinoma. Herein we reported a case of multifocal cyst forming anaplastic carcinoma of the pancreas. |
Keywords:
Anaplastic carcinoma, Pancreas cyst, Multifocal |
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