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KMID : 0985520160210030144
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Korean Journal of Pancreas and Biliary Tract
2016 Volume.21 No. 3 p.144 ~ p.149
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Undifferentiated Carcinoma of the Pancreas with Osteoclast-Like Giant Cells: Initially Diagnosed as Solid Pseudopapillary Tumor
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Kim Woo-Hyeon
Lee In-Seok
Kim Eun-Young
Lim Chul-Hyun
Kim Jin-Soo
Cho Yu-Kyung
Park Jae-Myung
Choi Myoung-Gyu
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Abstract
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Undifferentiated carcinoma of the pancreas with osteoclast-like giant cells (UCPOGC) is a rare, highly malignant pancreatic exocrine neoplasm. Here, we report a case of UCPOGC in a 58-year-old man who presented with abdominal pain and weight loss. Abdomen computed tomography (CT) revealed a 5cm sized pancreatic body mass with peripheral enhancement. Endoscopic ultrasound (EUS)-guided biopsy of the mass suggested a solid-pseudopapillary tumor of the pancreas with a marked degenerative change. Distal pancreatectomy and splenectomy were performed. The size of the mass was 5.4 × 4.8 cm and the cut surface showed necrosis and hemorrhage. A definite diagnosis of UCPOGC was made using the histopathology and immunohistochemical findings.
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KEYWORD
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Carcinoma, Undifferentiated, Osteoclast, Giant cells, Pancreas
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