@entity1962 of the @entity788 is a rare variant of pancreatic exocrine @entity189 . We herein report two @entity1 with this entity. One @entity1 was a 60-yr-old Japanese @entity1 complaining of a palpable mass, 5.5 cm in the greatest diameter, in the epigastrium. Serum CA 19-9 was increased (2010 U/ml). Ultrasonography and computed tomography showed a mass in the pancreatic tail with central @entity39 and invading the posterior wall of the stomach. Angiography showed an encasement of the @entity4558 . Distal pancreatectomy, splenectomy, and partial resection of the stomach were done. The @entity1 died of uncontrolled bleeding from the duodenal @entity1066 four months after operation. The other @entity1 was a 73-yr-old @entity1 who presented with @entity1087 . The CA 19-9 was also elevated (354.8 U/ml). Ultrasonography showed a pancreatic head mass of heterogeneous echogeneity and computed tomography demonstrated a @entity3928 with an enhanced rim, indicating @entity39 in the @entity5 center. Angiography showed a hypervascular mass in the head of the @entity788 . Pylorus-preserving pancreatoduodenectomy was done, but the @entity1 died of multiple liver @entity3 10 months after the operation. From our experience with the two @entity1 , the presence of central @entity39 in an infiltrative huge @entity788 seems to be suggestive of the diagnosis of @entity1962 of the @entity788 .

@entity1962 of the XXXX : report of two cases.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'man'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreas', 'pancreatic tumor'] @entity1087 :: ('MESH:D007565', 'Disease') :: ['jaundice'] @entity39 :: ('MESH:D009336', 'Disease') :: ['necrosis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity3928 :: ('MESH:C536030', 'Disease') :: ['cystic mass'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulcer'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinoma'] @entity4558 :: ('MESH:D013158', 'Disease') :: ['splenic artery and complete obstruction of the splenic vein'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastases'] @entity1962 :: ('MESH:D018196', 'Disease') :: ['Adenosquamous carcinoma', 'adenosquamous carcinoma']
@entity788 :: (MESH:D010190,Disease) :: ['pancreas']
