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- W2320063096 abstract "浸潤性膵管癌に対する膵全摘術は我が国ではあまり施行されていない．多結節性に進展した膵管癌に対し，膵全摘術を施行した症例を経験したので報告する．症例は59歳の男性で，2009年6月上腹部痛で前医受診し急性膵炎，膵癌疑いと診断され経過観察となった．2010年5月当院内科初診となった．CA19-9 390 U/mlと上昇しCTで頭部から尾部に3か所の結節性病変を認め，PETでは同部位に集積を認めた．膵全体の膵癌と診断し2010年6月亜全胃温存膵全摘術を施行した．病理組織学的診断はinvasive ductal carcinoma，pTS4，pT3pN0M0，f-Stage III，3か所の結節を伴う浸潤性膵管癌であった．それぞれの結節は上皮内病変を介して連続しており組織学的にも同一であることから，単一の病変が複数の結節を形成したと考えられた．" @default.
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- W2320063096 date "2012-01-01" @default.
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- W2320063096 title "Total Pancreatectomy for a Multi-focal Invasive Ductal Carcinoma" @default.
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