A Case of a Solid and Papillary Epithelial Neoplasm of the Pancreas Associated with Malignant Change.
- Author:
Shin Yun KIM
1
;
Seung Won LEE
;
Sang Il LEE
;
Chang Young PARK
;
Jung Il SOHN
;
Byung Ik KIM
;
Woo Kyu JEON
;
Seung Sei LEE
;
Eul Soon JEONG
;
Joon Ho SHIN
;
Joo Seob KUM
Author Information
1. Department of Internal Medicine, Kangbuk Samsung Hospital, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Malignant Change;
Solid and Papillary Epithelial Neoplasm
- MeSH:
Abdomen;
Adult;
Animals;
Cats;
Colon;
Colon, Transverse;
Drug Therapy;
Endoscopy, Digestive System;
Esophageal and Gastric Varices;
Female;
Humans;
Male;
Neoplasm Metastasis;
Neoplasms, Glandular and Epithelial*;
Pancreas*;
Pancreatectomy;
Physical Examination;
Portal Vein;
Recurrence;
Splenic Vein;
Stomach
- From:Korean Journal of Gastrointestinal Endoscopy
2000;20(3):239-242
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The solid and papillary epithelial neoplasm of the pancreas is a relatively uncommon disease. It accounts for approximately 1 to 2 percent of all exocrine pancreatic tumors. This benign or low grade malignant tumor is reported to occur predominantly in young women and rarely in men. Recurrence and development of metastasis after resection are found only in a small fraction of the general population. A case is herein reported involving a solid and papillary epithelial neoplasm of the pancreas which extensively spread to nearby organs, in a 34 year-old man. Chief complaints were black stool. Physical examination revealed tenderness on the left upper quadrant of the abdomen. Esophagogastroduodenoscopy revealed multiple cardiac variceal bleeding. Abdominal sonography and CAT scan findings showed a huge lobulated mass on the left upper quadrant area with an internal necrotic portion. Surgical findings showed determined a splenic vein tumor thromboembolus, portal vein involvement, distal stomach involvement, and multiple colonic invasion. Therefore, distal pancreatectomy, wedge resection of the stomach, splenetomy, segmental resection of the transverse colon, and excision of the mass were all performed. Pathologic examination revealed a solid and papillary epithelial neoplasm in the pancreatic tail with a marked dilated splenic vein filled with tumor thromboembolus. The patient has been under chemotherapy since then, and is being closely observed.
