@article{oai:redcross.repo.nii.ac.jp:00013774, author = {奥野, 充 and 白子, 順子 and 田口, 大輔 and 高田, 淳 and 今井, 奨 and 足立, 尊仁 and 白子, 隆志 and 岡本, 清尚 and 棚橋, 忍}, journal = {高山赤十字病院紀要, Japanese Red Cross Takayama Hospital}, month = {Mar}, note = {60歳女性。卵巣嚢腫経過観察中、膵尾部に嚢胞性病変を指摘した。造影CT、MRIで は嚢胞性病変と主膵管との交通は描出せず、隔壁の肥厚を認めたが嚢胞内結節は指摘しなかった。 造影EUSにて造影効果のある嚢胞内結節を認め、MCNまたはhigh-risk stigmataを伴うIPMNが考 えられ膵尾部切除術を施行した。最終的に病理所見よりIPMCと診断した。診断困難な嚢胞性病 変の悪性所見の評価に造影EUSが有用であった。, A 60-year-old woman presented for follow-up of an ovarian cystoma and showed an incidentally detected pancreatic tail cyst. Contrast-enhanced computed tomography and magnetic resonance cholangiopancreatography showed the pancreatic cyst had a thickened wall without any communication with the main pancreatic duct. An enhancing mural nodule was detected within the cyst using contrast-enhanced endoscopic ultrasonography (CE-EUS). Based on these clinical findings, the cyst showed a high index of suspicion for a mucinous cystic neoplasm or intraductal papillarymucinous neoplasm with high-risk stigmata. A distal pancreatectomy was performed, and the cyst was histopathologically diagnosed as an intraductal papillary-mucinous carcinoma. CE-EUS is useful to detect malignancy in patients presenting with undiagnosed pancreatic cysts prior to resection.}, pages = {35--41}, title = {造影超音波内視鏡検査が悪性所見の評価に有用であった膵尾部 intraductal papillary-mucinous carcinoma(IPMC)の1例}, volume = {41}, year = {2018} }