Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Primary Pancreatic Lymphoma with Severe Dilatation of Pancreatic Duct: A Case Report

심한 췌관확장을 동반한 원발췌장림프암: 증례 보고

  • Heo, Tae-Wook (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hospital) ;
  • Kim, Jin-Woong (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Heo, Suk-Hee (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Shin, Sang-Soo (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hospital) ;
  • Jeong, Yong-Yeon (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Kang, Heoung-Keun (Department of Diagnostic Radiology, Chonnam National University Medical School, Chonnam National University Hwasun Hospital) ;
  • Choi, Yoo-Duk (Department of Pathology, Chonnam National University Medical School, Chonnam National University Hospital)
  • 허태욱 (전남대학교 의과대학 영상의학교실, 전남대학교병원 영상의학과) ;
  • 김진웅 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 허숙희 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 신상수 (전남대학교 의과대학 영상의학교실, 전남대학교병원 영상의학과) ;
  • 정용연 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 강형근 (전남대학교 의과대학 영상의학교실, 화순전남대학교병원 영상의학과) ;
  • 최유덕 (전남대학교 의과대학 병리학교실, 전남대학교병원 병리과)
  • Received : 2010.02.02
  • Accepted : 2010.04.21
  • Published : 2010.08.01
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Abstract

Primary pancreatic lymphoma is extremely rare and usually consists of a bulky tumor without internal necrosis and severe dilatation of the pancreatic duct. We report the unusual CT and MRI findings of a primary pancreatic lymphoma in a 27-years-old man, associated with severe dilatation of the pancreatic duct, common bile duct, and internal necrosis.

췌장의 원발림프암은 매우 드물어 특징적인 영상소견은 잘 알려져 있지 않으나 췌관선암종과는 달리 췌관의 확장이 드물고 종괴 내부에 괴사를 잘 동반하지 않는다고 알려져 있다. 우리는 심한 췌관 및 총담관의 확장과 종괴 내 괴사를 동반하였던 27세 남자의 원발췌장림프암의 전산화단층촬영(CT) 및 자기공명영상(MR)소견을 보고하고자 한다.

Keywords

References

  1. Lin H, Li SD, Hu XG, Li ZS. Primary pancreatic lymphoma: Report of six cases. World J Gastroenterol 2006;12:5064-5067
  2. Dawson IM, Cornes JS, Morson BC. Primary malignant lymphoid tumours of the intestinal tract. Report of 37 cases with a study of factors influencing prognosis. Br J Surg 1961;49:80-89 https://doi.org/10.1002/bjs.18004921319
  3. Van Beers B, Lalonde L, Soyer P, Grandin C, Trigaux JP, De Ronde T, et al. Dynamic CT in pancreatic lymphoma. J Comput Assist Tomogr 1993;17:94-97 https://doi.org/10.1097/00004728-199301000-00017
  4. Merkle EM, Bender GN, Brambs HJ. Imaging findings in pancreatic lymphoma: differential aspects. AJR Am J Roentgenol 2000;174: 671-675 https://doi.org/10.2214/ajr.174.3.1740671
  5. Prayer L, Schurawitzki H, Mallek R, Mostbeck G. CT in pancreatic involvement of non-hodgkin lymphoma. Acta Radiol 1992;33:123-127
  6. Shirkhoda A, Ros PR, Farah J, Staab EV. Lymphoma of the solid abdominal viscera. Radiol Clin North Am 1990;28:785-799
  7. Buetow PC, Miller DL, Parrino TV, Buck JL. Islet cell tumors of the pancreas: clinical, radiologic, and pathologic correlation in diagnosis and localization. Radiographics 1997;17:453-472 https://doi.org/10.1148/radiographics.17.2.9084084
  8. Semelka RC, Ascher SM. MR imaging of the pancreas. Radiology 1993;188:593-602 https://doi.org/10.1148/radiology.188.3.8351317
  9. Saif MW. Primary pancreatic lymphomas. JOP 2006;7:262-273