嚢胞腺癌の扁平上皮化と考えられた膵腺扁平上皮癌の長期生存の1例

• 國料 俊男

  愛知県がんセンター消化器外科

• 安井 健三

  愛知県がんセンター消化器外科

• 清水 泰博

  愛知県がんセンター消化器外科

• 鳥井 彰人

  愛知県がんセンター消化器外科

• 森本 剛史

  愛知県がんセンター消化器外科

• 紀藤 毅

  愛知県がんセンター消化器外科

書誌事項

タイトル別名

• A LONG SURVIVAL CASE OF ADENOSQUAMOUS CELL CARCINOMA OCCURRED IN CYSTADENOCARCINOMA

抄録

A 53-year-old man complaining of left upper abdominal pain and back pain was referred to our department. Abdominal ultrasonography revealed a cystic lesion in the pancreas tail. Enhanced CT demonstrated a cystic mass with nodule in the pancreas tail. Angiography showed encasement of the splenic artery. We diagnosed the case as mucinous cystadenocarcinoma and performed a distal pancreatectomy associated with splenectomy. Histological examination of the resected material revealed the mixture of squamous cell carcinoma and adenocarcinom. It was diagnosed as adenosquamous cell carcinoma. There were metastasis to the liver and lymph nodes of the retroperitoneum 2 year and 10 months after the first operation, and chemotherapy and radiation therapy were performed. The patient died of liver failure 6 years and 6 months after the eperation. This adenosquamous cell carcinoma is thought to be squamatization of cystadenocarcinoma. The reasons of long survival may include unclear, but less compornent of squamous cell carcinoma and therapeautic effect of adjuvant therapy. There has been no report of squamatization of the cystadenocarcinoma and long time survivors of adenosquamous cell carcinoma. We consider this case precious.

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 60 (7), 1910-1913, 1999

  日本臨床外科学会

キーワード

• 膵癌
• 膵腺扁平上皮癌
• 嚢胞腺癌

詳細情報

• CRID: 1390001204846980864
• NII論文ID: 130003601434
• NII論文ID: 10009884271
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.60.1910
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/60/7/60_7_1910/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2000013852
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
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