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- W2563805045 startingPage "1551" @default.
- W2563805045 abstract "症例は70歳台，女性．子宮頸癌の治療中，膵頭部に6.5cm大の腫瘤性病変を指摘された．CT検査，FDG-PET検査で膵頭部の漿液性嚢胞腫瘍（serous cystic neoplasm:SCN）と診断され経過観察となった．半年後のCT検査で腫瘍径が軽度増大し，MRI検査を行ったが，画像上は漿液性嚢胞腫瘍に矛盾しない所見であった．確定診断のため超音波内視鏡下穿刺吸引生検を施行，膵神経内分泌腫瘍（neuroendocrine tumor of the pancreas:PNET）の組織と診断された．CT検査やMRI検査ではSCNに矛盾しない所見であったがPNETの合併と考え，亜全胃温存膵頭十二指腸切除術を施行した．腫瘍は，弾性軟で膨張性に発育し，周囲臓器と炎症性の癒着を認めた．切除標本割面の肉眼所見で，腫瘍は薄い被膜を有し，内部は出血を伴ったスポンジ様の部分と充実性の部分から構成されていた．病理検査所見では，SCNの成分は認められず，PNET Grade1と診断された．本症例は，画像検査でSCNと鑑別が困難であったPNET症例と考えられたので報告する．" @default.
- W2563805045 created "2017-01-06" @default.
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- W2563805045 date "2016-01-01" @default.
- W2563805045 modified "2023-10-14" @default.
- W2563805045 title "A Case of Pancreatic Neuroendocrine Tumor that was Difficult to Differentiate from Pancreatic Serous Cystic Neoplasm" @default.
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- W2563805045 doi "https://doi.org/10.3919/jjsa.77.1551" @default.
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