@article{oai:shiga-med.repo.nii.ac.jp:00003710,
 author = {YAMASHITA, Junpei and MAEHIRA, Hiromitsu and IIDA, Hiroya and MORI, Haruki and YASUKAWA, Daiki and SHIOMI, Motonori and FUKUO, Asuka and MAEKAWA, Takeru and MURAMOTO, Keiji and TAKEBAYASHI, Katsushi and KOJIMA, Masatsugu and UEKI, Tomoyuki and KAIDA, Sachiko and MIYAKE, Toru and ISHIKAWA, Ken and YAMAGUCHI, Tsuyoshi and KIMURA, Shoka and MATSUBARA, Akiko and TANI, Masaji and 山下, 純平 and 前平, 博充 and 飯田, 洋也 and 森, 治樹 and 安川, 大貴 and 塩見, 一徳 and 福尾, 飛翔 and 前川, 毅 and 村本, 圭史 and 竹林, 克士 and 小島, 正継 and 植木, 智之 and 貝田, 佐知子 and 三宅, 亨 and 石川, 健 and 山口, 剛 and 木村, 祥佳 and 松原, 亜季子 and 谷, 眞至},
 issue = {1},
 journal = {滋賀医科大学雑誌},
 month = {Oct},
 note = {症例は33歳，女性．経時的に増大する膵体部嚢胞性病変を認めた．MRIではT1強調画像で低信号を呈する部位とT1強調画像で淡い高信号を呈する，信号強度の異なる大小不同の多房性嚢胞性病変を認め，MRCPおよび超音波内視鏡検査で主膵管拡張および腫瘍と主膵管との交通が疑われた．以上よりmixed typeの膵漿液性嚢胞腺腫を疑ったが粘液性嚢胞腺腫や膵管内乳頭粘液性腫瘍を否定できず，腹腔鏡下脾温存膵体尾部切除術を施行した．病理組織学的検査所見では卵巣様間質は認めず，主膵管交通も認めず，mixed typeの膵漿液性嚢胞腺腫と診断した．膵漿液性嚢胞腺腫は漿液性嚢胞液を有するが，異なった信号強度を呈する多房性嚢胞を有するものはまれである．今回われわれは，信号強度の異なった多房性嚢胞を呈した膵漿液性嚢胞腺腫の1例を経験したので報告する．, A 33-year-old woman presented at our hospital with cystic tumor increased over time at pancreatic body. Magnetic resonance image revealed multilocular cysts with different signal intensities, which were mixed to low and slightly high intensities in T1 weighted image. Moreover, the connection of the cyst and main pancreatic duct was suspected by magnetic resonance cholangiopancreatography and endoscopic ultrasonography. We diagnosed as mixed-type serous cystadenoma, yet we could not contradict mucinous cystadenoma and intraductal papillary mucinous neoplasm. Therefore, we performed laparoscopic spleen preserved distal pancreatectomy. Histopathological findings revealed mixed-type serous cystadenoma, and the connection of the cyst and main pancreatic duct was not seen. Serous cystadenoma usually has serous discharge in the cyst and shows uniform signal intensity in the image findings. However, serous cystadenoma with different signal intensities in the multilocular cysts is relatively rare. We described a case of serous cystadenoma of the pancreas with different signal intensities in the multilocular cysts that was treated by laparoscopic surgery., Departmental Bulletin Paper},
 pages = {1--4},
 title = {嚢胞内出血に伴い信号強度の異なった多房性嚢胞を呈した膵漿液性嚢胞腺腫の1例},
 volume = {34},
 year = {2020}
}