A Case of Solid and Papillary Epithelial Neoplasm of the Pancreas

고형 및 유두상 췌장 종양 1례

  • Kim, Jong-Keun (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Lee, Hyung-Shin (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Kim, Sang-Yong (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Han, Ji-Whan (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Lee, Kyung-Yil (Department of Pediatrics, College of Medicine, The Catholic University of Korea) ;
  • Whang, Kyung-Tai (Department of Pediatrics, College of Medicine, The Catholic University of Korea)
  • 김종근 (가톨릭대학교 의과대학 소아과학교실) ;
  • 이형신 (가톨릭대학교 의과대학 소아과학교실) ;
  • 김상용 (가톨릭대학교 의과대학 소아과학교실) ;
  • 한지환 (가톨릭대학교 의과대학 소아과학교실) ;
  • 이경일 (가톨릭대학교 의과대학 소아과학교실) ;
  • 황경태 (가톨릭대학교 의과대학 소아과학교실)
  • Received : 2000.05.19
  • Accepted : 2000.07.19
  • Published : 2000.09.30

Abstract

Solid and papillary epithelial neoplasm of the pancreas is an uncommon low-grade malignant tumor found predominantly in young females. It is rare in childhood. The origin of the tumor is probably from a multipotential stem cell of the pancreas. Neoplasm usually behave like a very low grade malignancy, so that complete removal is the treatment of choice for the tumor arising anywhere in the pancreas. We report a case of solid and papillary epithelial neoplasm of the pancreas in a 14 year -old girl who presented with intermittent abdominal pain and abdominal mass. CT scan shows a large, about $7{\times}6\;cm$ sized, well-marginated hypodense round mass in the head of the pancreas with some ill defined enhancing solid internal portion. She had taken complete excision of the pancereatic mass and Roux-en-Y pancreaticojejunostomy and histologically comfirmed solid and papillary epithelial neoplasm of the pancreas. A brief review of literature was made.

저자들은 복부종괴가 촉진되고 간헐적 복부 동통을 주소로 내원한 14세 여아에서 복부 컴퓨터 단층 촬영과 조직검사로 고형 및 유두상 종양으로 진단하고 종괴절제술 및 Roux-en-Y 췌장공장문합술(pancreaticojejunostomy)로 치료한 환아 1례를 경험하였기에 보고하는 바이다.

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