[One case of pancreatic mucinous carcinoma discovered due to acute pancreatitis].
The patient was a woman, aged 69, diagnosed with acute pancreatitis by a local physician; simultaneously, with US, a low-echo tumor was indicated in the pancreas' uncinate process. Diagnosis was made of acute pancreatitis resulting from a pancreatic IPMN, and the patient was referred. Ultrasound showed hypoechoic tumor images accompanied by posterior echo enhancement. With radiography-CT, from the pancreas parenchymal phase, the peripheral portion was densely stained, while internally, images showed densely stained dendriforms towards the equilibrium phase. With MRI T1-weighted images, there was appearance at low intensity, and with T2-weighted images, there was appearance at high intensity; with MRCP, there was depiction at relatively high intensity. In the final pathological diagnosis, there was prominent formation of mucinous nodules, and mucinous carcinoma including large quantity of mucous.
Urata
Takahiro
T
Department of Gastroenterology, Kumamoto Red-cross Hospital, Japan.
Hifumi
Michio
M
Takekuma
Yoshi
Y
Hijioka
Susumu
S
Gushima
Ryosuke
R
Hashigo
Syunpei
S
Nagaoka
Katsuya
K
Yoshinaga
Syuya
S
Kitada
Hideki
H
Kawaguchi
Tetsu
T
Yamanaga
Shigeyoshi
S
Yokomizo
Hiroshi
H
D000208:Acute Disease; D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis*; D000368:Aged; D005260:Female; D006801:Humans; D010190:Pancreatic Neoplasms / Q000175:diagnosis*; D010195:Pancreatitis / Q000209:etiology*