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KMID : 0357920060400050385
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Korean Journal of Pathology
2006 Volume.40 No. 5 p.385 ~ p.388
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Traumatic Neuroma in the Pancreas Head Following Excision of Pseudocyst - A Brief Case Report -
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Kim Jeong-Won
Choi Ga-Won
Hwang Jeong-Eun
Kang Shin-Kwang
Han Duck-Jong
Jang Se-Jin
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Abstract
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We describe here a case of traumatic neuroma that developed in the pancreas head as a rare complication of pancreatic surgery for pseudocyst. A 50-year-old man presented with septic shock. The patient was a heavy drinker with history of operation for pancreatic pseudocyst 28 years ago. On the radiologic examinations, a poorly defined mass-like lesion was found in the uncinate process of pancreas, and it had features of chronic pancreatitis and a stricture of the distal common bile duct. Whipple’s operation was performed due to the diagnosis of suspected pancreas head cancer. The pancreas revealed an ill-demarcated 4 cm sized firm mass with grayish white fibrotic cut surface in the head portion. On the microscopic examination, the mass was composed of haphazard proliferations of nerve fascicles in a fibrocollagenous matrix and this case was diagnosed as traumatic neuroma. Although traumatic neruoma is a rare cause of a pancreatic mass, it should be included as a differential diagnosis of pancreatic mass in patients with a history of pancreatic surgery.
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KEYWORD
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Neoplasms, Post-Traumatic, Neuroma, Pancreatic Pseudocyst
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