J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 879KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 96(1): 54-57, 1995

Case report

A CASE OF OCCULT CANCER OF PANEREAS WHICH WAS APPROPRIATELY RESECTED BY INTRA OPERATIVE CYTODIAGNOSIS USING A BALLOON CATHETER

1) Department of Surgery, The Center for Adult Diseases, Osaka, Japan
2) Department of Cytology, The Center for Adult Diseases, Osaka, Japan

Shinichi Iwamoto1), Osamu Ishikawa1), Hiroaki Ohigashi1), Shingi Imaoka1), Yo Sasaki1), Akemi Takenaka2), Takeshi Iwanaga1)

A new method of intraoperative cytodiagnosis was performed for one patient with occult neoplasms of the pancreas in order to locate the original site of cancer cells, using a balloon catheter. Cancer cells were detected in the pancreatic juice obtained from the pancreatic body only. The pancreatic body was removed, and the tail of the pancreas was anastomosed to the stomach. The post operative course was good without diabetes, and it was confirmed histologically that minimally invasive adenocarcinoma existed in the pancreatic body. Thus this procedure is beneficial because it can preserve as much pancreatic finction as possible without losing the chance of cure by surgery.

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