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만성 상복부 통증을 주소로 내원한 71세 남자 환자

A 71-Year-Old Man with Chronic Epigastric Pain

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초록

A 71-year-old man presented due to chronic epigastric pain. A computed tomography scan of the abdomen showed a lobulated multilocular cystic lesion in the pancreatic head. Considering the patient’s age and imaging findings, pancreaticoduodenectomy was performed. Pathological examination revealed an intraductal papillary mucinous neoplasm with high-grade dysplasia

Abstract

A 71-year-old man presented due to chronic epigastric pain. A computed tomography scan of the abdomen showed a lobulated multilocular cystic lesion in the pancreatic head. Considering the patient’s age and imaging findings, pancreaticoduodenectomy was performed. Pathological examination revealed an intraductal papillary mucinous neoplasm with high-grade dysplasia

참고문헌 (8)

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  2. Gaujoux S, "Cystic lesions of the pancreas : changes in the presentation and management of 1, 424 patients at a single institution over a 15-year time period", J Am Coll Surg, 212, pp.590~600 (2011)
  3. Tanaka M, "Revisions of international consensus Fukuoka guidelines for the management of IPMN of the pancreas", Pancreatology, 17, pp.738~753 (2017)
  4. European Study Group on Cystic Tumours of the Pancreas, "European evidence-based guidelines on pancreatic cystic neoplasms", Gut, 67, pp.789~804 (2018)
  5. Elta GH, "ACG clinical guideline : diagnosis and management of pancreatic cysts", Am J Gastroenterol, 113, pp.464~479 (2018)
  6. Hyung Ku Chon, "Current trends in the management of pancreatic cystic neoplasms in Korea: a national survey", The Korean Journal of Internal Medicine, 37(1), pp.63~72 (2022), 대한내과학회[DOI]
  7. Singhi AD, "DNA testing of pancreatic cyst fluid : is it ready for prime time?", Lancet Gastroenterol Hepatol, 2, pp.63~72 (2017)
  8. Brugge WR, "Diagnosis of pancreatic cystic neoplasms : a report of the cooperative pancreatic cyst study", Gastroenterology, 126, pp.1330~1336 (2004)

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