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A Case of Pancreatic Body Cancer: diagnosed by endoscopic pancreatography and aspiration cytology and was surgically resectcd Y. Endo 1 , M. Tatuta 1 , T. Morii 1 , S. Okuda 1 , M. Matsui 2 , A. Wada 3 1Dept. of Internal Med., Osaka Center for Audlt Diseases 2Dept. of Surgery, Osaka Center for Audlt Diseases 3Dept. of Pathology, Osaka Center for Audlt Diseases pp.364-366
Published Date 1973/3/25
DOI https://doi.org/10.11477/mf.1403108398
  • Abstract
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 Case: a 63-year-old male company employee.

 Past history: non-contributoy.

 Present history: One year before he suffered from diarrhoea and abdominal pain, which became better upon medical management. Since 3 months before he had recurrent bouts of pressure feeling in the epigastrium with abdominal pain. He was then examined by a doctor and a tumor in the epigastrial region was pointed out.

 Status praesens: No jaundice. A hard tumor the size of a goose egg was palpated in the epigastrium. The growth was not movable and slighly tender on compression. The liver, spleen and gallbladder were not palpable. No abnormality was seen in the heart and lung.

 Laboratory data: the urine: sugar (-), protein (-); the stool: occult blood (-), fat (-). Examination of the blood: RBC 3,880,000, WBC 6,500. Sedimentation rate: 13mm (1 hour) and 32 (2 hours). Glucose tolerance test: slightly diabetic type. Liver function tests: TP 7.7gr. per 100ml, A/G ratio 0.92 Kunkel 10units, Co R3, icterus index 8, SGOT 23 units SGPT 9 units, Al-P 3.0 units, LDH 300units; amylase 111 units (serum), 64 units (urine). PS test: three factors diminished.

 Hypotonic duodenograph (Fig. 1). Duodenoscopic findings (Fig. 2). Pancreatograph (Fig. 3). Aspiration cytology under direct vision (Fig.4).

 Operation: Excision of the caudal part of the body of the pancreas (Figs. 5, 6).

 Histological diagnosis: adenocarcinoma papillotubulare (Fig. 7, 8).

 Postoperative course: At the time of one year and six months after operation he was in good health.


Copyright © 1973, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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