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- W2525179877 abstract "症例は76歳女性．CTで主膵管の拡張と多房性の嚢胞性病変，総胆管の拡張を認めた．精査目的で紹介，混合型IPMNと診断された．主膵管から胃への穿破があったことから瘻孔より拡大内視鏡を挿入，粘液の除去とCO2送気下での観察を行った．NBI併用拡大観察にて膵管内の結節と絨毛状構造が明瞭となり，通常観察では一見正常に見えた膵管上皮においても絨毛状構造が描出されたことから病変の連続性を評価し得た．直視下にて結節部分より生検を行い，術前にIPMCと診断，膵全摘術を施行し，手術標本で膵管内進展を確認した．IPMN症例の内視鏡観察において腫瘍形態と血管像が良悪性度診断に重要とされている．今回，NBI併用拡大観察で主膵管内の腫瘍形態，血管像を詳細に観察し，膵管進展評価と術前病理診断ができたIPMCの一例を経験した．" @default.
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- W2525179877 date "2016-01-01" @default.
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- W2525179877 title "Successful visualization of the main pancreatic duct from the gastric fistula by narrow band imaging (NBI) magnification endoscopy in a patient with mixed type intraductal papillary mucinous carcinoma (IPMC)" @default.
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