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Korean J Med > Volume 94(6); 2019 > Article
Gastroenterology
The Korean Journal of Medicine 2019;94(6): 519-525.
급성췌장염으로 첫 임상 발현한 1A 병기 췌장암
유동열1, 김지훈2, 백승호1, 이지우1, 남소혜1, 이세희1, 김명환1
1울산대학교 의과대학 서울아산병원 내과
2울산대학교 의과대학 서울아산병원 병리과
Stage 1A Pancreatic Cancer Initially Manifesting as Clinical Acute Pancreatitis
Dong Ryeol Yoo1, Jihun Kim2, Seung-Ho Baek1, Jiwoo Lee1, So Hye Nam1, Se Hee Lee1, Myung-Hwan Kim1
1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
2Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Corresponding Author: Myung-Hwan Kim ,Tel: +82-2-3010-3186, Fax: +82-2-476-0824, Email: mhkim@amc.seoul.kr
Received: May 24, 2018;   Revised: June 17, 2018;   Accepted: June 20, 2018.
ABSTRACT
Pancreatic cancer has a poor prognosis due to the difficulty of early diagnosis. Observation is recommended for early diagnosis of pancreatic cancer in elderly patients with risk factors such as newly diagnosed diabetes and chronic pancreatitis. A 66-year-old male suffered from acute pancreatitis of uncertain etiology. Initial pancreatic imaging showed a main pancreatic duct stricture at the pancreas body/tail junction and minimal duct dilatation without a visible mass. Eight months later, however, pancreatic imaging revealed a pancreatic mass at the previous stricture site with progression of the upstream duct dilation. The patient underwent distal pancreatectomy, and a pathologic examination showed stage 1A pancreatic cancer with a predominantly intraductal spreading pattern. We report a case of stage 1A pancreatic cancer that initially manifested as acute obstructive pancreatitis, which enabled early diagnosis of pancreatic cancer.
Keywords: Early diagnosis; Pancreatic cancer; Carcinoma, pancreatic ductal; Acute pancreatitis
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