Peripancreatic Lesions that Need to be Differentiated from Pancreatic Tumors.
- Author:
Seong Soo KIM
1
;
Sun Whe KIM
;
Jong Won HA
;
Yeo Kyu YOUN
;
Jae Gahb PARK
;
Kuhn Uk LEE
;
Yong Hyun PARK
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Peripancreatic diseases;
Differentiate from pancreatic tumor
- MeSH:
Diagnosis;
Gallbladder;
Laparoscopy;
Retrospective Studies;
Stomach Neoplasms;
Tuberculosis;
Ultrasonography
- From:Journal of the Korean Surgical Society
1998;54(6):891-898
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
There are different kinds of peripancratic diseases that we can hardly differdntiate from pancreatic tumors preoperatively. Seventeen cases of peripancreatic lesions, in which preoperative diagnosis was made as pancreatic tumor during the last six year period were reviewed retrospectively. They were neurogenic tumor(4 cases), tuberculosis of peripancreatic lymph node(2 cases), recurred gastric cancer (2 cases), Castlemann's disease(2 cases), gallbladder cancer(1 case), splenic hematoma(1 case), mesenteric lymphangioma(1 case), lyphoepithelial tumor(1 case), omental cyst(1 case), pheochromocytoma(1 case) and teratoma(1 case). All of them were operated and confirmed histologically. In conclusion, for correct preoperative diagnosis and proper therapy, the application of additional diagnostic measures such as CT or ultrasound guided aspiration cytology, diagnostic laparoscopy, and endoscopic ultrasound should be considered when the diagnosis is not conclusive. The disease entities we mentioned in this paper should be excluded preoperatively or intraoperatively.
