KMID : 0882420060710010080
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Korean Journal of Medicine 2006 Volume.71 No. 1 p.80 ~ p.85
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Partial agenesis of dorsal pancreas with Castleman¡¯s disease in pancreatic tail area
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Park Soo-Young
Bang Seung-Min Kim Myoung-Hwan Ryu Han-Jak Chung Jae-Bock Lee Woo-Jung Song Si-Young
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Abstract
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Agenesis of dorsal pancreas is a very rare congenital anomaly which comes from the failure of development of the body and tail of pancreas in embryogenesis. Castleman¡¯s disease is a rare lymphoid tumor which usually occurred in the mediastinum, but it is very uncommon in the retroperitoneal pancreatic tail area. We report a case of partial agenesis of dorsal pancreas with Castleman¡¯s disease in pancreatic tail area, mimicking a pancreatic tumor. A 46-year-old woman was admitted to our hospital with intermittent abdominal discomfort for 2 months. Computed tomography, magnetic resonance imaging, and endoscopic retrograde cholangiopancreatography (ERCP) revealed a tumor at distal pancreatic tail area, short pancreatic duct, and absence of pancreatic body and tail. The surgical excision of the tumor revealed hyaline-vascular type Castleman¡¯s disease.
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KEYWORD
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Castleman¡¯s disease, Agenesis, Pancreas
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