Metachronous Pancreatic Ductal Adenocarcinoma with Adjacent Serous Cystadenoma that Was Preoperatively Diagnosed by EUS-FNA: A Case Report and Review of the Literature

被引：3

作者：

Yoshida, Michihiro ^{[1
]}

Naitoh, Itaru ^{[1
]}

Hayashi, Kazuki ^{[1
]}

Jinno, Naruomi ^{[1
]}

Natsume, Makoto ^{[1
]}

Hori, Yasuki ^{[1
]}

Kato, Akihisa ^{[1
]}

Kachi, Kenta ^{[1
]}

Asano, Go ^{[1
]}

Matsuo, Yoichi ^{[2
]}

Takahashi, Satoru ^{[3
]}

Kataoka, Hiromi ^{[1
]}

机构：

[1] Nagoya City Univ, Dept Gastroenterol & Metab, Grad Sch Med Sci, Nagoya, Aichi, Japan

[2] Nagoya City, Dept Gastroenterol Surg, Univ Grad Sch Med Sci, Nagoya, Aichi, Japan

[3] Nagoya City Univ, Dept Expt Pathol & Tumor Biol, Grad Sch Med Sci, Nagoya, Japan

来源：

INTERNAL MEDICINE | 2020年 / 59卷 / 05期

关键词：

serous cystic neoplasm (SCN); serous cystadenoma (SCA); pancreatic ductal adenocarcinoma (PDAC); endoscopic ultrasound-guided fine needle aspiration (EUS-FNA); diffusion-weighted magnetic resonance image (DWI); APPARENT-DIFFUSION-COEFFICIENT; MICROCYSTIC ADENOMA; CYSTIC NEOPLASMS; CARCINOMA; RECOMMENDATIONS; MALIGNANCY; COEXISTENT;

D O I：

10.2169/internalmedicine.3912-19

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pancreatic serous cystic neoplasms (SCNs), such as serous cystadenoma (SCA), are generally recognized as benign because malignant counterparts of SCNs have been extremely rare. In clinical practice, pancreatic cystic neoplasms diagnosed as SCNs have been managed by conservative observation, as long as the patients remained asymptomatic. We herein report a case of metachronous ductal adenocarcinoma that was discovered during long-term follow-up of SCN and review the related literature. To our knowledge, this was the first reported case of the local presence of ductal adenocarcinoma adjacent to SCA that was preoperatively diagnosed by endoscopic ultrasound-guided fine-needle aspiration.

引用

页码：649 / 656

页数：8

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