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Korean J Med > Volume 87(1); 2014 > Article
The Korean Journal of Medicine 2014;87(1): 61-66.
가성낭종으로 오인된 급성 췌장염을 동반한 점액성 낭성종양 1예
김소연1, 문성훈1, 김동훈2, 박동선1, 안정선1, 김성열1, 김종혁1
1한림대학교 의과대학 한림대학교성심병원 소화기내과
2한림대학교 의과대학 한림대학교성심병원 병리학과
Mucinous Cystic Neoplasm of the Pancreas Presenting with Acute Pancreatitis, Initially Misdiagnosed as a Pseudocyst
So Yeon Kim1, Sung-Hoon Moon1, Dong Hoon Kim2, Dong Seon Park1, Jung Sun An1, Seong Yeol Kim1, Jong Hyeok Kim1
1Division of Gastroenterology, Departments of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
2Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea
Corresponding Author: Sung-Hoon Moon ,Tel: +82-31-380-3710, Fax: +82-31-386-2269, Email: endomoon@naver.com
Received: August 28, 2013;   Revised: October 23, 2013;   Accepted: December 30, 2013.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
neoplasms have recently been diagnosed more commonly, possibly due to advances in imaging and widespread screening programs. Cystic neoplasms of the pancreas account for 10-20% of pancreatic tumors. Mucinous cystic neoplasms (MCN) and intraductal papillary mucinous neoplasms are regarded as premalignant lesions, whereas serous cystadenoma is not. In the clinical setting of acute pancreatitis, pancreatic cystic lesions are usually diagnosed as pseudocysts. However, cystic neoplasms of the pancreas should be considered in the differential diagnosis of pancreatic cysts, even in patients with a history of pancreatitis. In the Korean literature, MCN combined with acute pancreatitis has rarely been reported. Here, we report a case of MCN presenting with acute pancreatitis in a 22-year-old female, which was initially misdiagnosed as pancreatic pseudocyst.
Keywords: Mucinous cystic neoplasm (MCN); Pancreatitis; Pancreatic pseudocyst; Pancreatic neoplasm
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