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이태훈 ( Tae Hun Lee ),정일권 ( Il Kwun Chung ),길효욱 ( Hyo Wook Gil ),박현준 ( Hyun Jun Park ),김영훈 ( Young Hoon Kim ),박상흠 ( Sang Heum Park ),김홍수 ( Hong Soo Kim ),이문호 ( Moon Ho Lee ),김선주 ( Sun Joo Kim ),조현득 ( Hy 대한소화기학회 2003 대한소화기학회지 Vol.41 No.5
The incidence of small cell carcinomas of the pancreas is approximately 1% of malignant pancreatic diseases. About 10% of metastatic small cell carcinomas of the pancreas are originated from the lung. Diagnosis of primary small cell carcinomas of the pancreas should be done after exclusion of any extraabdominal presence of small cell carcinomas. Metastasis-induced acute pancreatitis is unusual and the case manifested by primary pancreatic cancer is also unusual. We experienced a rare case of metastatic small cell carcinoma of the pancreas, which was suspected to be originated from the lung. He presented with clinical features of acute pancreatitis and was diagonsed having small cell carcinoma of the pancreas by histologic examination. The radiographic finding on his chest was normal, but small cell lung cancer was detected by more active evaluation of the lung. (Korean J Gastroenterol 2003;41:417-420)