Fujii Masakuni, Okamoto Yuki, Fujioka Shin-Ichi, Shiode Junji
Department of Internal Medicine, Okayama Saiseikai General Hospital, Japan.
Intern Med. 2022 Apr 15;61(8):1151-1156. doi: 10.2169/internalmedicine.7345-21. Epub 2021 Oct 19.
Pancreatic colloid carcinoma, also known as mucinous non-cystic carcinoma, is a rare subtype of pancreatic cancer accounting for 1-3% of the pancreatic malignant neoplasms. We herein report a woman who initially presented for acute pancreatitis. Computed tomography showed pancreatic swelling due to acute pancreatitis and a 16-mm mass with an enhanced margin in the pancreatic tail. We performed endoscopic ultrasound fine-needle aspiration. The patient was diagnosed with pancreatic colloid carcinoma, and distal pancreatectomy was performed. This case indicates that pancreatic colloid carcinoma should be considered as a differential diagnosis of pancreatic tumor presenting with acute pancreatitis.
胰腺胶样癌,也称为黏液性非囊性癌,是一种罕见的胰腺癌亚型,占胰腺恶性肿瘤的1%-3%。我们在此报告一名最初因急性胰腺炎就诊的女性。计算机断层扫描显示因急性胰腺炎导致胰腺肿胀,胰腺尾部有一个边缘强化的16毫米肿块。我们进行了超声内镜细针穿刺抽吸。患者被诊断为胰腺胶样癌,并接受了胰体尾切除术。该病例表明,胰腺胶样癌应被视为急性胰腺炎伴发胰腺肿瘤的鉴别诊断之一。