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Korean J Pancreas Biliary Tract > Volume 17(1):2012 > Article
The Korean Journal of Pancreas and Biliary Tract 2012;17(1):34-38.
수술 전 담관암으로 의심되었던 췌장암 1예
윤재훈, 김한준1, 김대용, 김연수, 석기태, 백광호, 김진봉, 김동준
한림대학교 의과대학 내과학교실, 1외과학교실"
A Case of Pancreatic Cancer Mimicking Distal Common Bile Duct Cancer
Jai Hoon Yoon, Han-Joon Kim1, Dae Yong Kim, Yeon Soo Kim, Ki Tae Suk, Gwang Ho Baik, Jin Bong Kim, Dong Joon Kim
Departments of Internal Medicine and 1Surgery, Hallym University College of Medicine, Chuncheon, Korea
ABSTRACT
Early detection of pancreatic cancer has the potential to substantially impact outcomes in this deadly disease. There are many reports that EUS and Multi- detector CT were useful and effective procedures to detect the mass with early and small pancreatic cancers less than 1 cm. There are no symptoms in small pancreatic cancer. Therefore, it is difficult to detect small pancreatic cancer. We experienced the case that patient complained of painless jaundice and no mass was detected in pancreas and biliary tract even through the abdominal computed tomography and endoscopic ultrasound. We strongly suspected early bile duct cancer before preserving pancreatico-duodenectomy (PPPD), however, he had been diagnosed as small pancreatic cancer by 12 mm after PPPD. Therefore, we here report this case with literature review.
Keywords: Pancreas cancer, Jaundice, Bile duct cancer
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