J.Jpn. Surg. Soc.. 91(1): 150-153, 1990
Case report
A CASE OF PANCREATIC CARCINOMA COEXIST WITH PANCREATIC PSEUDOCYST
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First Department of Surgery, School of Medicine, Tokyo Medical and Dental University, Tokyo, Japan Takeshi Nagahama, Narihide Goseki, Yoshinori Inoue, Toshifumi Taenaka, Hiroshi Nakamura, Hiroshi Habu, Mitsuo Endo |
The patient aged 53 years, complained of epigastric distension and visited our hospital. There was no past history of abdominal injuries and he didn't drink much. A cyst 7cm in diameter was found at pancreatic tail lesion by our examinaton. By blood chemistry tumor marker CA19-9 was 310 and he complicated diabetes mellitus. We suspected pancreatic carcinoma coexist with pancreatic pseudocyst, so distal pancreatectomy and splenectomy was performed. We found a solid tumor sized about 3cm in diameter at just proximal of pancreatic cyst. Since perioperative histologicalexamination revealed adenocarcinoma, we performed lymph node dissection. The tumor was highly differentiated adenocarcinoma which invaded retroperitoneum in somelesion. The patient died 10 months lator by recurrence.
We concluded that we must take into account not only laboratory finding but their clinical course in such cases.
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