Intraductal papillary mucinous tumors: a case report and review of literature.
Intraductal papillary mucinous tumors are slow growing cystic neoplasms of pancreas with favorable prognosis. A case report of such a tumor in an octogenarian is presented. Excessive mucin secretion with ectatic dilatation of pancreatic ducts is a hallmark of this tumor. K-ras and p53 mutations are less frequent then in ductal pancreatic adenocarcinoma. Endoscopic retrograde cholangiopancreatography findings are diagnostic and include a patulous papilla and amorphous filling defects in dilated pancreatic ducts. Magnetic resonance pancreatography, endoluminal ultra-sound, and pancreatoscopy are also helpful in diagnosis. Complete surgical resection is recommended.
Qayyum
R
R
Department of Medicine (Primary Care), University of Connecticut School of Medicine, Farmington, USA.
McClintock
C
C
D000368:Aged; D000369:Aged, 80 and over; D002291:Carcinoma, Papillary / Q000175:diagnosis / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D018297:Neoplasms, Cystic, Mucinous, and Serous / Q000175:diagnosis* / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000601:surgery; D011379:Prognosis