1992 Volume 34 Issue 3 Pages 627-632_1
A 76-year-old male was admitted complaining of epigastralgia. ERCP showed a short segmental stenosis in the main pancreatic duct, however no tumor was detected by abdominal US or CT. Peroral Pancreaticoscopy (POPS) demonstrated the protruding lesion like submucosal tumor of which surface showed redness, increase of neovascularization and easily contact bleeding. Since the findings suggested a cancer of the pancreatic body, distal pancreatectomy was performed. Histological finding revealed a small pancreatic ductal cell carcinoma which size was 17 mm in diameter and was covered by a single-layer of epithelium in the main stenotic pancreatic duct, therefore these histological finding sugested POPS findings.