KMID : 1104820190070010018
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Journal of Digestive Cancer Research 2019 Volume.7 No. 1 p.18 ~ p.21
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A Case of 47-Years-Old Female with Obstructive Jaundice and Weight Loss
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Park Pil-Gyu
Kang Hua-Pyong Chung Moon-Jae Park Jeong-Youp Bang Seung-Min Park Seung-Woo Song Si-Young Lee Hee-Seung
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Abstract
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Serine protease inhibitor Kazal-type 1 (SPINK1) is a gene expressed from pancreatic acinar cell which its mutation is known to be associated with chronic pancreatitis (CP) and pancreatic cancer. We report a case of a 47-years-old female with nausea and weight loss with yellow discoloration of skin. Initial imaging and endoscopic study led us to an impression of chronic pancreatitis with pancreatic cancer with common bile-duct dilation. Biopsy result was confirmed with pancreatic adenocarcinoma and additional imaging revealed lymph node and bone metastasis. Our genetic analysis revealed 194+2T>C mutation of SPINK1. Biliary obstruction was successfully decompressed by stent insertion and underwent chemotherapy and radiotherapy. Although there is accumulating evidence of association between SPINK1 mutation and CP, the relationship between SPINK1 mutation and pancreatic cancer in CP patient is an emerging concept. Genetic analysis should be considered in patients with young age especially when diagnosed with both CP and pancreatic cancer.
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KEYWORD
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Pancreatic cancer, Chronic pancreatitis, Idiopathic, Hereditary, SPINK1
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