A case of pancreatic carcinoma with marked ductal dilatation: what contributed to the dilatation?

International journal of pancreatology : official journal of the International Association of Pancreatology Pub Date : 2000-02-01 DOI:10.1385/IJGC:27:1:65

H Abe, W Kimura, A Maema, M Makuuchi

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引用次数: 2

Abstract

Background: We report the case of an 82-yr-old man with invasive ductal carcinoma of the pancreatic head, in which the main pancreatic duct and duct of Santorini were markedly dilated, measuring 1.6 and 1.1 cm, respectively, in diameter on computed tomography.

Methods: A preoperative diagnosis of ductal carcinoma of the pancreatic head was made, and Whipple's procedure was carried out.

Results: Histopathologically, the tumor was diagnosed as moderately differentiated tubular adenocarcinoma, and the resected pancreatic parenchyma showed low papillary mucous cell hyperplasia and atypical hyperplasia in dilated ductular branches. Conclusion. Even among patients with tubular adenocarcinoma, the most common type of pancreatic ductal carcinoma, if the patient is aged and has chronic pancreatitis, the main pancreatic duct and duct of Santorini may dilate to the same degree as in mucin-hypersecreting neoplasm.

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胰腺导管明显扩张1例:是什么导致了扩张?

背景:我们报告一例82岁男性浸润性胰头导管癌，其中主胰管和圣托里尼胰管明显扩张，ct测量直径分别为1.6和1.1 cm。方法:对胰头导管癌进行术前诊断，并行惠普尔手术。结果:组织病理学诊断为中分化小管腺癌，切除胰腺实质表现为低乳头状黏液细胞增生及扩张小管分支不典型增生。结论。即使在最常见的胰管癌——管状腺癌患者中，如果患者年龄较大并患有慢性胰腺炎，主胰管和圣托里尼胰管也可能扩张到与粘液高分泌性肿瘤相同的程度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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International journal of pancreatology : official journal of the International Association of Pancreatology

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