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KMID : 0359020110420060433
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 6 p.433 ~ p.436
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Adenosquamous Carcinoma of the Pancreas: A Case Report
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Son Jun Hyuk
Lee Sang-Hyub
Cha Byung-Ho
Hwang Jin-Hyeok
Lee Yun-Bin
Yoon Yoo-Seok
Kim So-Yeon
Kim Hae-Ryoung
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Abstract
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Adenosquamous carcinoma of the pancreas is a rare tumor, which is difficult to diagnose. A 65-year-old man was admitted complaining of abdominal pain. Abdominal computed tomography (CT) demonstrated a cystic mass in the pancreatic body. Endoscopic ultrasound (EUS) showed an approximate 1.0 cm-sized hypoechoic cystic mass with a solid portion in the pancreatic body and narrowing of the main pancreatic duct. Under the impression of acute pancreatitis with a pseudocyst diagnosis, medical therapy including pancreatic stent insertion was administered to the patient for 4 weeks. A distal pancreatectomy was performed with the suspicion of pancreatic cancer due to the remaining mass on follow-up CT scan, and the tumor was histopathologically diagnosed as stage I (TNM classification) adenosquamous carcinoma of the pancreatic body. The patient was discharged without any problems and has been on follow-up without
recurrence. We report a case of adenosquamous carcinoma of the pancreas that was diagnosed relatively early with the help of EUS.
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KEYWORD
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Adenosquamous carcinoma, Pancreatic cancer, Pseudocyst, Stage I, Endoscopic ultrasound
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