A case of intraductal papillary-mucinous carcinoma of the pancreas with the onset of acute pancreatitis.
Intraductal papillary-mucinous carcinoma of the pancreas has been reported with increasing frequency. We report a case with intraductal papillary-mucinous carcinoma of the pancreas and discuss surgical treatment and current imaging modalities. A case with intraductal papillary-mucinous carcinoma was analyzed by radiological findings and clinical course. A 47-year-old man developed abdominal pain and nausea. Computed tomography showed a diffusely dilated main pancreatic duct. Duodenoscopy showed a patulous orifice of the pancreas with massive mucus secretion, but the pancreatic juice was not positive for malignant cells. Endoscopic retrograde cholangiopancreatography revealed a markedly dilated pancreatic duct extending from the body to the tail of the pancreas. Distal pancreatectomy was performed with splenectomy and lymph nodes dissection. Histopathological diagnosis was intraductal papillary-mucinous carcinoma. Endoscopic retrograde cholangiopancreatography is useful for diagnosing intraductal papillary mucin-producing tumors. To avoid unnecessary total pancreatectomy and preserve pancreatic function, intraoperative frozen section examination is widely available for the surgical treatment of intraductal papillary mucin-producing tumors.
Takeuchi
Kunio
K
Department of Surgery, Tone Chuo Hospital, 1855-1, Higashiharashinmachi, Numata-City, Gunma 378-0053, Japan.
Tsuzuki
Yasushi
Y
Ando
Tetsu
T
Sekihara
Masao
M
Hara
Takashi
T
Ishibashi
Yasunori
Y
Ohno
Yoshihiro
Y
Yoshikawa
Minako
M
Kuwano
Hiroyuki
H
D000208:Acute Disease; D002288:Adenocarcinoma, Mucinous / Q000150:complications* / Q000601:surgery; D000231:Adenocarcinoma, Papillary / Q000150:complications* / Q000601:surgery; D021441:Carcinoma, Pancreatic Ductal / Q000150:complications* / Q000601:surgery; D002760:Cholangiopancreatography, Endoscopic Retrograde; D005629:Frozen Sections; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000601:surgery; D010195:Pancreatitis / Q000150:complications*; D014057:Tomography, X-Ray Computed