췌장암과 감별이 필요하였던 비알코올성 만성 췌장염 1예

• Published in: The Korean journal of gastroenterology Vol. 35; no. 6; pp. 826 - 831
• Main Authors: 송기섭, Kee Sup Song, 나상규, Sang Kyu Na, 정준표, Jun Pyo Chung, 박영년, Young Nyun Park, 유정식, Jeong Sik Yu, 윤동섭, Dong Sup Yoon, 최병기, Byeong Kee Choi, 이세준, Se Joon Lee, 송시영, Si Young Song, 이관식, Kwan Sik Lee, 정재복, Jae Bock Chung, 이상인, Sang In Lee, 강진경, Jin Kyung Kang
• Format: Journal Article
• Language: Korean
• Published: 대한소화기학회 01.01.2000
• Subjects: Non-alcoholic chronic pancreatitis; Pancreatic cancer
• ISSN: 1598-9992

Differentiation between chronic pancreatitis and pancreatic cancer is often difficult. Some special types of chronic pancreatitis such as 'non-alcoholic duct-destructive chronic pancreatitis' and 'chronic pancreatitis with diffuse irregular narrowing of the main pancreatic duct' seem to be pancreatic cancer, but show imaging features characterized by the absence of parenchymal atrophy, significant ductal dilatation proximal to the site of stenosis, and the absence of extrapancreatic spread. Recognition of these special types of chronic pancreatitis prior to a definite treatment is important to avoid an unnecessary pancreatic resection. Recently, we experienced a case of non- alcoholic chronic pancreatitis in a 80-year-old man presenting with obstructive jaundice. His radiologic features were similar to those of non-alcoholic duct-destructive chronic pancreatitis. Recognition of this special type of chronic pancreatitis prior to a definitive treatment enabled us to manage this patient optimally. (Kor J Gastroenterol 2000;35:826 - 831)