直近一年間の累計
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ID 110389
タイトルヨミ
スイビブガン ノ ゾウ オ シメシタ スイナイ フクヒ ノ 1レイ
タイトル別表記
An intrapancreatic accessory spleen mimicked pancreatic tail carcinoma
著者
松下, 健太 徳島県立中央病院外科
近清, 素也 徳島県立中央病院外科
八木, 淑之 徳島県立中央病院外科
藤木, 和也 徳島県立中央病院外科
川下, 陽一郎 徳島県立中央病院外科
井川, 浩一 徳島県立中央病院外科
キーワード
intrapancreatic accessory spleen
pancreatic tail carcinoma
資料タイプ
学術雑誌論文
抄録
Intrapancreatic accessory spleens exhibit the same computed tomography (CT) findings as the spleen itself. We experienced a case in which an intrapancreatic accessory spleen mimicked pancreatic tail carcinoma. A 54-year-old female who had a medical history of splenectomy presented with a pancreatic tail tumor, which exhibited low density in the arterial phase and slightly high density in the portal and equilibrium phases on CT. In addition, an accessory spleen was present in the greater omentum. We initially diagnosed the tumor as a pancreatic carcinoma, and scheduled distal pancreatectomy(DP)combined with lymph node dissection(LND). Intraoperatively, the tumor was found to be elastic-soft, which indicated that it might be benign. We changed the planned procedure from DP combined with LND to DP without LND. The cut surface of the tumor had the appearance of spleen tissue, and the pathological diagnosis was an intrapancreatic accessory spleen. Intrapancreatic accessory spleens can display the same imaging findings as pancreatic carcinomas. Intraoperative palpation and gross pathological examinations were useful for selecting the optimal surgical procedure in the present case. It is important to differentiate pancreatic tail tumors that exhibit low density in the arterial phase on CT from accessory spleens.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
72
3-4
開始ページ
119
終了ページ
124
並び順
119
発行日
2016-08-25
フルテキストファイル
言語
jpn
著者版フラグ
出版社版