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KMID : 0614619930250030590
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Korean Journal of Gastroenterology
1993 Volume.25 No. 3 p.590 ~ p.595
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Papillary Cystic and Solid Tumor of the Pancreatic Head
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Abstract
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A thirteen-year-old girl with a papillary cystic and solid tumor of the pancreas is presented. This neoplasm is very uncommon and occurs predominantly in girls and young women. However, the incidence of the tumor in early teenagers is very rare.
The
tumor has very low malignant potential and surgical resection would be curative in almost all cases. Our case was initially misdiagnosed with pancreatic pseudocyst, so therapeutic percutaneous aspiration was done and the aspiration cytology
demonstrated
the papillary cystic and solid tumor. Grossly, the tumor was round with 3 cm in diameter and located in the pancreatic head attaching to the medial wall of duodenum. Pylorus preserving pancreatoduodenectomy was done. Microscopically, the tumor
cells
were monotonous with round to oval bland-appearing nuclei and scanty to moderate ill-defined cytoplasm. There were numerous capillaries and branching papillary clusters. Postoperative course was uneventful. Long term follow-up would be
recommended
although the tumor has very low potential of recurrence and metastasis.
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KEYWORD
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