A Case of Well-Differentiated Endocrine Carcinoma of Pancreas with Lymph Nodes Metastases, Which Showed Hypovascularity by Preoperative Angiography

Hiroaki Shibahara, Hiroshi Hasegawa, Seiji Ogiso, Eiji Sakamoto, Tsuyoshi Igami, Shusaku Ohira, Toshiharu Mori, Takashi Mizuno and Koutaro Hattori

Department of Surgery, Nagoya Second Red Cross Hospital

A 52-year-old woman reporting diarrhea, back pain, and epigastralgia, was found in ultrasonography to have a mass in the body of pancreas slightly enhanced on computed tomography. Angiography showed no tumor stain, but a splenic vein was dilated and compressed by the tumor. Cancer of the body of the pancreas was diagnosed preoperatively, and the pancreatic body and tail were resected together with splenectomy. Postoperative pathological diagnosis was well-differentiated endocrine carcinoma of the pancreas. Metastasis to lymph nodes of No. 8a and 10 was positive. Liver metastasis has been revealed in the one year since surgery under observation carefully.

Key words
well-differentiated endocrine carcinoma, hypovascular, lymph node metastasis

Reprint requests
Hiroaki Shibahara Department of Surgery, Nagoya Second Red Cross Hospital 2-9 Myogen-cho, Syowa-ku, Nagoya-City, 466-8650 JAPAN

Accepted
May 1, 2002

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