Meguro Takayoshi, Yamamoto Takeshi, Nishioka Kana, Kumagai Shinji, Yonechi Makoto, Kawabata Wakako, Kondo Shiho, Sugawara Akiko, Iwasashi Hajime, Nakamura Ryuji, Matsuno Seiki, Murakami Kazuhiro
Department of Gastroenterology, Tohoku Kosei Nenkin Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2008 Jul;105(7):1078-86.
A 26-year-old woman was admitted to our hospital with jaundice. Under a diagnosis of biliary and duodenal stenosis due to so called "groove pancreatitis", prednisolone (30 mg/day, 2 weeks) was administered. But these stenosis did not improve after the treatment, and pancreaticoduodenectomy was performed. Histologically, poorly differentiated adenocarcinoma was found in the "groove" between the duodenum and the pancreatic head. We should be kept of "pancreatic groove carcinoma" in mind when making a diagnosis of "groove pancreatitis".
一名26岁女性因黄疸入住我院。诊断为所谓“沟部胰腺炎”导致的胆管和十二指肠狭窄，给予泼尼松龙（30毫克/天，共2周）治疗。但治疗后这些狭窄并未改善，遂行胰十二指肠切除术。组织学检查发现，在十二指肠和胰头之间的“沟部”存在低分化腺癌。在诊断“沟部胰腺炎”时，应考虑到“胰沟癌”。
