Higashiyama H, Fuke H, Sato H, Takarada Y, Hayashi M, Murabayashi K, Yabana T
Dept. of Internal Med., Yamada Red Cross Hospital.
Gan No Rinsho. 1990 Nov;36(14):2480-4.
A 61-year-old male was admitted to our hospital with a complaint of epigastric discomfort and back pain. Chronic pancreatitis was suspected after an abdominal US study. Therefore, an ERCP study was performed. Macroscopically, the papilla of Vater showed an irregular shaped swelling. An ERCP X-ray revealed no abnormal findings, but biopsied specimens from the papilla showed a well differentiated adenocarcinoma in the adenoma, so that a pancreatoduodenectomy was performed. The lesion was 15 x 9 x 6 mm in size, and a histological examination revealed that a minor portion of the tumor was a carcinoma while the major portion was an adenoma, and the invasion as being d0 panc0 n0.
一名61岁男性因上腹部不适和背痛入院。腹部超声检查后怀疑为慢性胰腺炎。因此，进行了内镜逆行胰胆管造影（ERCP）检查。肉眼可见，十二指肠乳头呈现不规则肿胀。ERCP X线检查未发现异常，但十二指肠乳头活检标本显示腺瘤内有高分化腺癌，于是进行了胰十二指肠切除术。病变大小为15×9×6毫米，组织学检查显示肿瘤的一小部分为癌，而大部分为腺瘤，浸润情况为d0 panc0 n0。
