A Case of Pancreatic Intraepithelial Neoplasia Presenting as Aucte Pancreatitis.
- Author:
Dong Wook LEE
1
;
Jae Kwon JUNG
;
Dong Yeub EUN
;
Jung Soo LEE
;
Jae Kwang LEE
;
Sang Man PARK
;
Hyun Soo KIM
;
Mi Jin GU
Author Information
1. Department of Internal Medicine, Daegu Fatima Hospital, Daegu, Korea. 1stfatbird@naver.com
- Publication Type:Case Report
- Keywords:
Pancreatic intraepithelial neoplasia;
Endoscopic retrograde cholangiopancreatography;
Acute pancreatitis;
Brush cytology
- MeSH:
Abdominal Pain;
Adenocarcinoma;
Amylases;
Cholangiopancreatography, Endoscopic Retrograde;
Constriction, Pathologic;
Dilatation;
Pancreas;
Pancreatectomy;
Pancreatic Ducts;
Pancreatitis
- From:Korean Journal of Gastrointestinal Endoscopy
2010;40(1):62-67
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Pancreatic intraepithelial neoplasia (PanIN) is a precancerous lesion. A 72-year old man was admitted to our hospital because of abdominal pain, and he had an elevated serum level of pancreatic amylase. ERCP showed a focal stricture of the main pancreatic duct without upstream dilatation in the body of the pancreas. Cytologic evaluation with an endoscopic brush at the stricture suggested the presence of adenocarcinoma. After subtotal pancreatectomy, the features of PanIN were observed in the branch pancreatic duct. ERCP with brush cytology seems to be a useful method for detecting PanIN at the precancerous stage. We report here on a case of PanIN associated with a stricture of the main pancreatic duct.
