|
ウエムラ シユウイチロウ
Uemura Shiyuuichirou
植村 修一郎 所属 医学部 医学科（東京女子医科大学病院） 職種 助教 |
|
| 論文種別 | 症例報告 |
| 言語種別 | 英語 |
| 査読の有無 | 査読なし |
| 表題 | Pancreatic serous cystadenocarcinoma diagnosed with liver metastasis at 7 years after the resection of the primary serous neoplastic lesion. |
| 掲載誌名 | 正式名：Clinical journal of gastroenterology 略 称：Clin J Gastroenterol ISSNコード：18657265/18657265 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 15(2),pp.505-512 |
| 著者・共著者 | TAKAGI Yutaka, HATORI Takashi, ITANO Osamu, SHINODA Masahiro, KATO Atsushi, NITORI Nobuhiro, KATO Fumihiko, KATO Ayu, NAKANO Atsushi, TAMURA Takuya, UEMURA Shuichiro, MIYAZAKI Masaru, AIDA Shinsuke |
| 発行年月 | 2022/04 |
| 概要 | Pancreatic serous neoplasms are rare tumors that are usually benign. However, histopathological differentiation between benign (serous cystadenoma) and malignant (serous cystadenocarcinoma) lesions is difficult. We present the case of a patient with pancreatic serous cystadenocarcinoma that was diagnosed with liver metastasis 7 years after the resection of the primary serous neoplastic lesion. A woman in her 60 s was diagnosed with pancreatic serous cystadenoma based on imaging and histopathological examination findings. The tumor was resected, and the patient was followed up every 6 months to monitor tumor progression. At 7 years after the resection of the primary lesion, liver tumors showing marked flare-like contrast enhancements were detected on arterial phase computed tomography findings and on dynamic magnetic resonance imaging findings acquired 60 s after the administration of a contrast agent. Laparoscopic segmental hepatectomy of S4 and S6 was performed to resect these tumors. Histopathological examination revealed that these tumors were metastatic and developed from the primary lesion. Therefore, a diagnosis of serous cystadenocarcinoma was confirmed. The flare-like contrast enhancement around the metastatic liver lesions on computed tomography and dynamic magnetic resonance images may be an indicator of serous cystadenocarcinoma with liver metastasis that could assist in diagnosis. |
| DOI | 10.1007/s12328-021-01570-9 |
| PMID | 35013932 |