Liou T C, Lin X Z, Chang T T, Lin C Y, Lin P W, Jin Y T, Yu C Y
Department of Medicine, National Cheng Kung University Hospital, Tainan, Taiwan, Republic of China.
Pancreas. 1992;7(2):251-6. doi: 10.1097/00006676-199203000-00019.
A 61-year-old man experienced four bouts of pancreatitis in 1 year. Detailed history taking and a series of examinations, including sonography, computed tomography scan, and endoscopic retrograde cholangiopancreatography (ERCP), revealed pancreas divisum on the first admission. He was treated conservatively. However, repeated ERCP on the fourth admission, 1 year later, showed a small filling defect in the tail of the pancreatic duct. A distal pancreatectomy was carried out. Pathological studies revealed a small papillary adenocarcinoma (1.5 x 1.0 x 0.5 cm) confined to the pancreatic duct grossly with minimal parenchymal invasion microscopically. He has been free from cancer and pancreatitis for 13 months since the operation.
一名61岁男性在1年内经历了4次胰腺炎发作。详细的病史采集以及一系列检查，包括超声、计算机断层扫描和内镜逆行胰胆管造影（ERCP），在首次入院时发现胰腺分裂症。他接受了保守治疗。然而，1年后第四次入院时重复进行的ERCP显示胰管尾部有一个小的充盈缺损。于是进行了远端胰腺切除术。病理研究显示为一个小的乳头状腺癌（1.5×1.0×0.5厘米），大体上局限于胰管，显微镜下实质侵犯极小。自手术以来，他已无癌症和胰腺炎13个月。
