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KMID : 0614619920240051192
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Korean Journal of Gastroenterology
1992 Volume.24 No. 5 p.1192 ~ p.1197
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A Case of Microcystic Adenoma of the Pancreas
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민창기
정일건/이종욱/김재광/정인식/선희식/김부성/진해명/김승남
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Abstract
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Microcystic adenoma (serous cystadenoma) is unusual, slow-growing tumor and has a benign nature in clinical course, in contrast to mucinous cystadenoma, which has a definte malignant potential and should be performed with radical resection. The
average
age at diagnopsis is ranged from 60 to 70 years and occur predominantly in woman. Immunochemical and electron-microscopic studies suggest that the pancreatic centroacinar cell is the cell of origin.
These tumors are usually discovered by chance by chance during investigation for chronic abdominal pain. In some cases the cysts comparess adjacent structures and a palpable mass is one of frequent findings. The diagnosis may be suspected on
ultrasonography, computed tomography, angiography and endoscopic retrograde choloangiopancreaticography. Especrally, CT scan showes a characteristic image of microcystic adenoma of pancreas, which should then be confirmed by a percutaneous
biopsy.
The patients with microcystic adenoma can be treated surgically with total excision of tumors. But if asymptomatic or poor surgical risk, it is reasonable to rely on result of biopsy and follow the patient rather than operate.
Anthors report one case of microcystic adenoma of pancreatic body and tail in 72-years-old female with a review of literatures.
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KEYWORD
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