Internal medicine (Tokyo, Japan) · 2020
Mucinous Cystadenocarcinoma of the Pancreas with Cyst Infection in a Male Patient.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Tomishima Ko, Fujisawa Toshio, Fukumura Yuki, Ushio Mako, Sato Sho, Amano Nozomi, Murata Ayato, Tsuzura Hironori, Sato Shunsuke, Matsumoto Kouhei, Shimada Yuji, Genda Takuya, Isayama Hiroyuki
Аннотация
Follow-up computed tomography revealed a 40-mm pancreatic tail cyst in a 59-year-old man with type 1 diabetes mellitus. An intraductal papillary mucinous neoplasm was suspected; mucinous cystic neoplasm (MCN) was not considered because the patient was a man. During follow-up, cyst infection occurred but was improved by conservative treatment. At the 24-month follow up examination, cyst nodules had developed, corresponding to an increase in the carbohydrate antigen 19-9 level. Mucinous cystadenocarcinoma (MCC) was diagnosed pathologically based on distal pancreatectomy. A diagnosis of male MCN/MCC is often delayed, which may lead to a poor prognosis. MCN infection is also rare and poorly recognized. We observed an atypical male case of MCN/MCC.