Browse > Article

Adenosquamous Carcinoma of the Pancreas: A Case Report  

Son, Jun-Hyuk (Department of Internal Medicine, Seoul National University Bundang Hospital)
Lee, Sang-Hyub (Department of Internal Medicine, Seoul National University Bundang Hospital)
Cha, Byung-Hyo (Department of Internal Medicine, Cheju Halla General Hospital)
Hwang, Jin-Hyeok (Department of Internal Medicine, Seoul National University Bundang Hospital)
Lee, Yun-Bin (Department of Internal Medicine, Seoul National University Bundang Hospital)
Yoon, Yoo-Seok (Department of Surgery, Seoul National University Bundang Hospital)
Kim, So-Yeon (Department of Radiology, Seoul National University Bundang Hospital)
Kim, Hae-Ryoung (Department of Pathology, Seoul National University Bundang Hospital)
Publication Information
Clinical Endoscopy / v.42, no.6, 2011 , pp. 433-436 More about this Journal
Abstract
Adenosquamous carcinoma of the pancreas is a rare tumor, which is difficult to diagnose. A 65-year-old man was admitted complaining of abdominal pain. Abdominal computed tomography (CT) demonstrated a cystic mass in the pancreatic body. Endoscopic ultrasound (EUS) showed an approximate 1.0 cm-sized hypoechoic cystic mass with a solid portion in the pancreatic body and narrowing of the main pancreatic duct. Under the impression of acute pancreatitis with a pseudocyst diagnosis, medical therapy including pancreatic stent insertion was administered to the patient for 4 weeks. A distal pancreatectomy was performed with the suspicion of pancreatic cancer due to the remaining mass on a follow-up CT scan, and the tumor was histopathologically diagnosed as stage I (TNM classification) adenosquamous carcinoma of the pancreatic body. The patient was discharged without any problems and has been on follow-up without recurrence. We report a case of adenosquamous carcinoma of the pancreas that was diagnosed relatively early with the help of EUS.
Keywords
Adenosquamous carcinoma; Pancreatic cancer; Pseudocyst; Stage I; Endoscopic ultrasound;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Kim KU, Cho MY, Cho NC, Yoon KS, Kim DS, Rhoe BS. Adenosquamous carcinoma of the pancreas associated with cyst formation. Korean J Gastroenterol 1994;26:885-891.
2 Shin ES, Myung SJ, Kim MH, et al. A case of adenosquamous carcinoma of the pancreas with unusual pancreatographic findings. Korean J Gastrointest Endosc 1998;18:129-135.
3 Lee TH, Chung JP, Yoon DS, et al. A case of adenosquamous carcinoma of the pancreas. Korean J Gastroenterol 2003;41:154-158.
4 Myung SJ, Kim MH, Lee SK, Seo DW, Kim YS, Min YI. Adenosquamous carcinoma of the pancreas: differentiation from pancreatic pseudocyst. Gastrointest Endosc 1998;47:410-413.   DOI   ScienceOn
5 Chung JC, Choi SH, Jang KT, et al. Adenosquamous carcinoma of the pancreas. J Korean Surg Soc 2006;71:69-72.
6 Kang MS, Park JH, Ro YS. A case of cutaneous metastatic adenosquamous carcinoma of the pancreas. Korean J Dermatol 2007;45:384-386.
7 Jang EJ, Han YS, Choi DL, Kim HG. Adenosquamous carcinoma of the pancreas literature review. Korean Surg Soc 2008;75:411-414.
8 Song H, Choi IS, Choi WJ, Yoon DS, Mok WK, Min HS. Adenosquamous carcinoma of the pancreas. Korean J Hepatobiliary Pancreat Surg 2003;7:164-167.
9 Madura JA, Jarman BT, Doherty MG, Yum MN, Howard TJ. Adenosquamous carcinoma of the pancreas. Arch Surg 1999;134:599-603.   DOI   ScienceOn
10 Kardon DE, Thompson LD, Przygodzki RM, Heffess CS. Adenosquamous carcinoma of the pancreas: a clinicopathologic series of 25 cases. Mod Pathol 2001;14:443-451.   DOI   ScienceOn
11 Nakashima H, Hayakawa T, Hoshino M, et al. Squamous cell carcinoma of the pancreas with massive invasion of the retroperitoneum. Intern Med 1995;34:61-64.   DOI   ScienceOn
12 Ito K, Fujita N, Noda Y, et al. Pancreatic adenosquamous carcinoma, 9 mm in size, diagnosed preoperatively by transpapillary biopsy. Report of a case. Dig Endosc 2003;15:235-239.   DOI   ScienceOn
13 Herxheimer G. Uber heterologe cancroide. Beitr Pathol Anat 1907;41:348-412.
14 Cihak RW, Kawashima T, Steer A. Adenoacanthoma (adenosquamous carcinoma) of the pancreas. Cancer 1972;29:1133-1140.   DOI   ScienceOn
15 Sakamoto H, Kitano M, Kamata K, El-Masry M, Kudo M. Diagnosis of pancreatic tumors by endoscopic ultrasonography. World J Radiol 2010;2:122-134.   DOI   ScienceOn
16 Gan SI, Rajan E, Adler DG, et al. Role of EUS. Gastrointest Endosc 2007;66:425-434.   DOI   ScienceOn
17 Ardengh JC, de Paulo GA, Ferrari AP. EUS-guided FNA in the diagnosis of pancreatic neuroendocrine tumors before surgery. Gastrointest Endosc 2004;60:378-384.   DOI   ScienceOn
18 Lee KU, Lee DK, Kim JC, Kim JP. Pancreatic cancer-clinical analysis of 122 cases from 1975 to 1982. Seoul J Med 1988;29:353-360.
19 Choe GY, Kim YI. Primary neoplasms of the pancreas. Korean J Gastroenterol 1992;24:354-365.