title: [Predominantly intraductal low-grade differentiated adenocarcinoma in young man with long time mask clinic of chronic pancreatitis].
abstract: The authors present the case of diagnosis of low-grade adenocarcinoma of the pancreas, a man 34 years old, a long time to mask clinic chronic pancreatitis. Laboratory and instrumental investigations, including tumor markers CD 19-9, CEA, ultrasound, CT, MRI showed no reliable data for the presence of tumor. On the other hand, a young man of 34 years present credible evidence of chronic pancreatitis, in the form of a typical pain, a significant increase in serum am- ylase and lipase, and the presence of parenchymal and ductal signs of pancreatitis in visual research methods. Diagnosis of tumors, including obtaining morphological material, pre-operative pain relief were obtain by endoscopic methods. Histological examination of surgical specimens was detected a rare type of poorly differentiated adenocarcinoma of the pancreas tubulo-papillary structures, with predominant intraductal growth and a minimum depth of invasion due to pronounced fibrotic outcome variables, which leads to a complex disease diagnostics. After 1.5 years, after adequately performed surgery the patient was revealed metastases to the liver.
authors.forename: V A
authors.initials: VA
authors.lastname: Kashchenko
authors.forename: E G
authors.initials: EG
authors.lastname: Solonitsyn
authors.forename: T V
authors.initials: TV
authors.lastname: Savel'eva
authors.forename: S L
authors.initials: SL
authors.lastname: Vorob'ev
authors.forename: R I
authors.initials: RI
authors.lastname: Lukichev
authors.forename: N N
authors.initials: NN
authors.lastname: Lebedeva
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000378:metabolism / Q000473:pathology; D000328:Adult; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000378:metabolism / Q000473:pathology; D050500:Pancreatitis, Chronic / Q000175:diagnosis* / Q000378:metabolism / Q000473:pathology