췌장 선방세포암은 췌장암 중 1% 미만을 차지하는 매우 드문 암으로, 수술 전 영상 검사상 췌장관세포암, 췌장 고형성가유두상 종양, 신경내분비 종양 등과 감별이 어려운 경우가 많다. 현재...
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https://www.riss.kr/link?id=A108014734
2022
-
KCI등재
학술저널
54-59(6쪽)
0
0
상세조회0
다운로드국문 초록 (Abstract)
췌장 선방세포암은 췌장암 중 1% 미만을 차지하는 매우 드문 암으로, 수술 전 영상 검사상 췌장관세포암, 췌장 고형성가유두상 종양, 신경내분비 종양 등과 감별이 어려운 경우가 많다. 현재...
췌장 선방세포암은 췌장암 중 1% 미만을 차지하는 매우 드문 암으로, 수술 전 영상 검사상 췌장관세포암, 췌장 고형성가유두상 종양, 신경내분비 종양 등과 감별이 어려운 경우가 많다. 현재까지 명확하게 정립된 치료법은 없으며, 조기 진단 및 종양의 완전 절제만이 생존율 향상을 가져온다고 보고되고 있다. 그러나 췌장 관세포암에 비하여 종양 절제 후 비교적 좋은 예후를 보여준다. 본 증례와 같이 비교적 젊은 남자 환자가 낭성 부분을 포함한 크기가 큰 고형성 췌장 종양을 주소로 내원하였을 경우 췌장 선방세포암을 염두에 두고 적극적인 수술 치료를 고려해야 할 것이다.
다국어 초록 (Multilingual Abstract)
Pancreatic acinar cell carcinoma (ACC) is a rare neoplasm accounting less than 1% of malignant pancreatic tumors. A 47-year-old male patient visited the emergency room with epigastric pain. Computed tomography or magnetic resonance imaging revealed a ...
Pancreatic acinar cell carcinoma (ACC) is a rare neoplasm accounting less than 1% of malignant pancreatic tumors. A 47-year-old male patient visited the emergency room with epigastric pain. Computed tomography or magnetic resonance imaging revealed a 4.7-cm heterogeneously enhanced solid and cystic mass with internal necrosis located in the head of the pancreas. Radiological diagnosis was borderline malignancy such as neuroendocrine tumor or solid pseudopapillary neoplasm. Two months later, the necrotic mass in the pancreas head had grown up to 11 cm, compressing the duodenum, superior mesenteric vein, and proximal transverse colon. Pylorus preserving pancreatoduodenectomy with segmental resection of transverse colon was performed. Histopathological examination revealed that the tumor was pancreatic ACC. The patient recovered without any complication and was doing well without recurrence for 12 months after surgery.
Korean J Pancreas Biliary Tract 2022;27(1):54-59
참고문헌 (Reference)
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1 Glazer ES, "Systematic review and case series report of acinar cell carcinoma of the pancreas" 23 : 446-454, 2016
2 Choi JY, "Solid pseudopapillary tumor of the pancreas : typical and atypical manifestations" 187 : W178-W186, 2006
3 Egal A, "Prognostic factors of acinar cell carcinomas : a study of 44 patients" 48 : 1393-1396, 2019
4 Ohara Y, "Pancreatic neuroendocrine tumor and solid-pseudopapillary neoplasm : key immunohistochemical profiles for differential diagnosis" 22 : 8596-8604, 2016
5 Hoorens A, "Pancreatic acinar cell carcinoma. An analysis of cell lineage markers, p53 expression, and Ki-ras mutation" 143 : 685-698, 1993
6 Matos JM, "Pancreatic acinar cell carcinoma : a multi-institutional study" 13 : 1495-1502, 2009
7 Takahashi H, "Multicenter retrospective analysis of chemotherapy for advanced pancreatic acinar cell carcinoma : potential efficacy of platinum-and irinotecan-containing regimens" 50 : 77-82, 2021
8 Busch E, "Metastatic acinar cell carcinoma of the pancreas : a retrospective cohort study on systemic chemotherapy and review of the literature" 50 : 300-305, 2021
9 Basturk O, "Intraductal and papillary variants of acinar cell carcinomas : a new addition to the challenging differential diagnosis of intraductal neoplasms" 31 : 363-370, 2007
10 Seki Y, "Four cases of pancreatic acinar cell carcinoma treated with gemcitabine or S-1 as a single agent" 39 : 751-755, 2009
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개정된 대한췌장담도학회 급성췌장염 임상진료지침: 개정 목적과 과정
개정된 대한췌장담도학회 급성췌장염 임상진료지침: 중증도 평가
개정된 대한췌장담도학회 급성췌장염 임상진료지침: 초기 치료, 영양지원, 회복기 치료
학술지 이력
연월일 | 이력구분 | 이력상세 | 등재구분 |
---|---|---|---|
2024 | 평가예정 | 재인증평가 신청대상 (재인증) | |
2021-01-01 | 평가 | 등재학술지 선정 (계속평가) | |
2019-03-14 | 학회명변경 | 한글명 : 대한췌담도학회 -> 대한췌장담도학회 | |
2019-01-01 | 평가 | 등재후보학술지 선정 (신규평가) | |
2018-12-01 | 평가 | 등재후보 탈락 (계속평가) | |
2016-01-01 | 평가 | 등재후보학술지 선정 (신규평가) |
학술지 인용정보
기준연도 | WOS-KCI 통합IF(2년) | KCIF(2년) | KCIF(3년) |
---|---|---|---|
2016 | 0 | 0 | 0 |
KCIF(4년) | KCIF(5년) | 중심성지수(3년) | 즉시성지수 |
0 | 0 | 0 | 0 |