원발성 췌장 소세포암 1예

Abstract

Unlike the small cell carcinoma of the lung, much remains to be discovered about the natural history and of optimal therapy of primary small cell carcinoma of the pancreas.

We experienced a case of a primary small cell carcinoma of pancreas with both adrenal metastasis. The patient was a seventy-year old woman who had complained of right upper quadrant abdominal pain for 1 month. Chest x-ray revealed no abnormality. Abdominal CT scan showed a non-enhancing low density mass in uncinate process of pancreas, retropancreatic lymphadenopathy and well defined masses in both adrenal gland. CT-guided biopsy of pancreas showed small cell carcinoma.

Herein, we report a case of primary small cell carcinoma of the pancreas with both adrenal metastasis and review the literature.

Key Words "■ Small cell carcinoma, Pancreas

저자들은 70세 여자 환자가 약 1개월간의 우상복부동통을 주소로 내원하여 흉부 단순촬영상에서 결절이나 폐실질의 병소없이 복부 단층촬영상에서 췌장 구상돌기와 양측 부신에 종피가 보여 조직검사상 소세포암으로 판명된 양측 부신전이를 동반한 원발성 췌장 소세포암 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.