Takahashi Mizuna, Senmaru Naoto, Kawase Hiroshi, Takahashi Ryo, Kuroda Hiroyuki, Maeda Masahiro, Fujita Miri, Hirano Satoshi
Department of Surgery, Steel Memorial Muroran Hospital, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2013 Mar;110(3):449-55.
A 65-year-old woman who had been followed up for a cystic lesion of the tail of the pancreas was found to have cancer of the body of the pancreas. ERP showed stenosis of the main pancreatic duct (MPD) with dilatation of the distal side of the duct, and communication between the cystic lesion and MPD. She underwent distal pancreatectomy under a diagnosis of intraductal papillary-mucinous neoplasm associated with cancer of the body of the pancreas. Clinicopathologic investigation revealed that the diagnosis of the cystic lesion was serous cystadenoma having the communication with MPD. It was also indicated by the histopathologic findings that inflammatory changes of MPD caused by stenosis might contribute to the development of serous cystadenoma.
一名因胰腺尾部囊性病变接受随访的65岁女性被发现患有胰体癌。内镜逆行胰胆管造影（ERP）显示主胰管（MPD）狭窄，导管远端扩张，且囊性病变与MPD相通。她在诊断为与胰体癌相关的导管内乳头状黏液性肿瘤后接受了胰体尾切除术。临床病理研究表明，囊性病变的诊断为与MPD相通的浆液性囊腺瘤。组织病理学结果还表明，狭窄引起的MPD炎症变化可能促成了浆液性囊腺瘤的发生。
