Pancreatic Neuroendocrine Tumor Presenting as Acute Pancreatitis / 대한소화기학회지
The Korean Journal of Gastroenterology
; : 98-102, 2018.
Article
em Ko
| WPRIM
| ID: wpr-742124
Biblioteca responsável:
WPRO
ABSTRACT
We report a case of acute pancreatitis secondary to pancreatic neuroendocrine tumor. A 46-year old man presented with upper abdominal pain. The serum amylase and lipase were elevated. Abdominal computed tomography (CT) and magnetic resonance cholangiopancreatography revealed a 1.7 cm sized mass at the pancreas body with a dilatation of the upstream pancreatic duct and mild infiltrations of peripancreatic fat. An endoscopic ultrasound-guided fine needle biopsy was performed for the pancreatic mass, but only necrotic tissue was observed on the pathologic examination. A chest and neck CT scan revealed anterior mediastinal, paratracheal, and cervical lymph node enlargement, which were indicative of metastasis. An ultrasound-guided core needle biopsy was performed for the enlarged neck lymph node, and pathologic examination revealed a metastatic poorly differentiated carcinoma. Immunohistochemical analysis showed positive staining for synaptophysin, chromogranin A, and CD 56, indicative of a neuroendocrine carcinoma.
Palavras-chave
Texto completo:
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Índice:
WPRIM
Assunto principal:
Pâncreas
/
Ductos Pancreáticos
/
Pancreatite
/
Tórax
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Tomografia Computadorizada por Raios X
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Dor Abdominal
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Sinaptofisina
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Tumores Neuroendócrinos
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Carcinoma Neuroendócrino
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Biópsia por Agulha Fina
Idioma:
Ko
Revista:
The Korean Journal of Gastroenterology
Ano de publicação:
2018
Tipo de documento:
Article