Oki Yusuke, Onoyama Hirohiko, Nikaido Mitsuhiro, Iinuma Shoji, Endo Koji, Tomita Yumi, Mizuno Katsuhiko, Yasui Hiroshi
Department of Gastroenterology, Rakuwakai Otowa Hospital, Japan.
Nihon Shokakibyo Gakkai Zasshi. 2013 Jun;110(6):1044-53.
A 65-year-old man with back pain showed a hypovascular lesion of the head of the pancreas on dynamic computed tomography and abdominal ultrasonography. The distal portion of the pancreas was not visible. Endoscopic retrograde cholangiopancreatography revealed pancreatic duct obstruction, and the duodenal minor papilla was not visible. Therefore, we diagnosed the patient's condition as stage IVa pancreatic cancer with congenital agenesis of the dorsal pancreas. The patient underwent successful chemotherapy with 3 courses of gemcitabine and S-1, which was followed by pancreaticoduodenectomy. Pathological staging revealed invasive ductal carcinoma, pT3, pN0, pM0, stage III. We report a rare case of pancreatic cancer with congenital agenesis of the dorsal pancreas.
一名65岁的背痛男性在动态计算机断层扫描和腹部超声检查中显示胰腺头部有一个低血运病变。胰腺远端不可见。内镜逆行胰胆管造影显示胰管梗阻，十二指肠小乳头不可见。因此，我们将患者的病情诊断为IVa期胰腺癌伴背侧胰腺先天性缺如。患者接受了3个疗程的吉西他滨和S-1的成功化疗，随后进行了胰十二指肠切除术。病理分期显示为浸润性导管癌，pT3，pN0，pM0，III期。我们报告了一例罕见的伴背侧胰腺先天性缺如的胰腺癌病例。
