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KMID : 0614619940260050885
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Korean Journal of Gastroenterology
1994 Volume.26 No. 5 p.885 ~ p.891
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Adenosquamous Carcinoma of the Pancreas Associated with Cyst Formation
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김건욱
조미연/조남천/윤광수/김대성/노병선
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Abstract
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Adenosquamous carcinoma of the pancreas has a mixture of adenocarcinoma and squamous cell carcinoma components and is uncommon. We presents one case of adenosquamous carcinoma of the pancreas in old man aged 76. His chief complains were
intermittent
abdominal discomfort and pain. Physical examination revealed huge abdominal mass in left upper quadrant abdomen. All laboratory data were not significant. Abdominal ultrasonography and CT scan revealed a well demarcated cystic and solid mass
which
was
located at the tail of the pancreas. Successful resection of the tumor by splenectomy, total gastrectomy and segmental resection of transverse colon were carried out. Cut section of the resected specimen reveals a huge cyst locating between the
serosal
surface of the stomach and n oval round solid mass with infiltrating margin of the distal pancreas. Histopathologically, the tumor was composed of adenocarcinoma, well differentiated squamous cell carcinoma and anaplastic carcinoma with
transition
areas. The cyst was partly lined by mesothelial cells and poorly differentiated squamous cell carcinoma. The patients was without specific problem. But the died 6 months after operation.(Korean J Gastroenterol 1994 ; 26 : 885-891)
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