主膵管内進展とリンパ節転移を伴った小膵癌の１例

• 長井 和之

  神戸市立中央市民病院外科

• 和田 道彦

  神戸市立中央市民病院外科

• 寺嶋 宏明

  神戸市立中央市民病院外科

• 細谷 亮

  神戸市立中央市民病院外科

• 梶原 建熈

  神戸市立中央市民病院外科

書誌事項

タイトル別名

• A CASE OF SMALL PANCREATIC CANCER WITH INTRADUCTAL SPREADING AND REGIONAL LYMPH NODE METASTASIS

抄録

An 82-year-old man with elevated serum amylase was admitted for medical evaluation. Abdominal ultrasonography, contrast-enhanced computed tomography and endoscopic ultrasonography showed a tumor 1cm in diameter of the pancreas body with dilatation of the distal main pancreatic duct (MPD). Endoscopic retrograde pancreatography showed obstruction of the MPD. Distal pancreatectomy was undertaken under a diagnosis of pancreatic cancer. Pathological findings showed well-differentiated tubular adenocarcinoma with intraductal spreading along the MPD extending over 14mm and regional lymph node metastasis. The diameter of the tumor was 9mm. Even in small pancreatic cancer, the standard operation with lymph node dissection aiming at no residual cancer histopathologically should be done as a curative treatment. The cut end of the MPD without cancer cells needs to be ascertained by intraoperative pathology.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 67 (6), 1390-1394, 2006

  日本臨床外科学会

キーワード

• 小膵癌
• 膵管内進展

詳細情報

• CRID: 1390282679825949952
• NII論文ID: 10018199922
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.67.1390
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/6/67_6_1390/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2006284624
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可