미분화 암종이 동반된 췌장의 파골세포 모양 거대세포종양 1예
A case of undifferentiated carcinoma with osteoclast-like giant cells of the pancreas
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본 증례는 췌장의 미부에 발생한 미분화 암종이 동반된 파골세포 모양 거대세포종양의 증례이며 림프절 전이나 원격전이를 보이지 않아 근치적 절제를 시행할 수 있었고, 보조항암화학요법을 이용하여 치료 중이어서 질환에 관한 고찰 및 국내 증례들을 종합하여 보고하는 바이다.
Abstract
An osteoclast-like giant cell tumor of the pancreas is a very rare neoplasm, with only three cases reported in Korea. Due to the rarity of this tumor type, few clinical data are available. We present a case of undifferentiated carcinoma with osteoclast-like giant cell tumor arising in the tail of the pancreas in a 72-year-old woman hospitalized to evaluate epigastric pain and a palpable abdominal mass. Magnetic resonance imaging revealed the presence of a large enhancing mass with septation arising from the tail of the pancreas. A distal pancreatectomy with splenectomy was performed. The pathological diagnosis was undifferentiated carcinoma with osteoclast-like giant cell tumor. Here, we describe the histopathological and immunohistochemical findings and review the clinical features of the cases reported in the Korean literature.
참고문헌 (13)
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