Kuwatani Masaki, Kawakami Hiroshi, Yamato Hiroaki, Shinada Keisuke, Tanaka Eiichi, Hirano Satoshi, Kondoh Satoshi, Itoh Tomoo, Asaka Masahiro
Department of Gastroenterology, Hokkaido University, Graduate School of Medicine, Sapporo.
Nihon Shokakibyo Gakkai Zasshi. 2008 Jul;105(7):1061-9.
We had three cases of pancreatic groove carcinoma. All cases developed obstructive jaundice. Duodenoscopy showed stenosis of the second portion of the duodenum in every case. Thus, endoscopic bile duct drainage could not be performed in two cases. CT revealed a mass between the duodenum and head of the pancreas, which was not well-defined by contrast-enhancement. Endoscopic ultrasonography revealed a hypoechoic mass which was adjacent to the common bile duct and duodenum in the pancreas head in all cases. Therefore, we could diagnose pancreatic groove carcinoma.
我们有三例胰沟癌患者。所有病例均出现梗阻性黄疸。十二指肠镜检查显示，每例患者十二指肠第二部均有狭窄。因此，两例患者无法进行内镜胆管引流。CT显示十二指肠与胰头之间有一肿块，增强扫描时边界不清。内镜超声检查显示，所有病例胰头均有一低回声肿块，与胆总管和十二指肠相邻。因此，我们能够诊断出胰沟癌。
