A CASE OF MALIGNANT FIBROUS HISTIOCYTOMA OF THE PANCREAS

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  • 膵原発悪性線維性組織球腫の1例

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Abstract

A 70-year-old male was seen at the hospital because of an epigastric discomfort and epigastric tumor. A fistsized, elastic hard and unmoved tumor was palpable in the upper, a little right abdominal region. Abdominal ultrasonography and CT scan showed a 7.0×5.5cm tumor of the pancreas head oppressing the portal vein and inferior vena cava, and angiography showed a hypervascular tumor. No primary nor metastatic lesion was recognized in the limbs and soft tissue in the body. Tumor markers and serum bilirubin level were within normal limit, but a pylorus preserving pancreaticoduodenectomy was performed under a diagnosis of malignant tumor of the pancreas head. By the pathological findings and special dyeing the tumor was diagnosed as malignant fibrous histiocytoma (MFH).<br> MFH has a tendency to enlarge rapidly without provoking jaundice, ever if it arises in the pancreas head, but active resection can be a curative therapy.

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