title: Intraductal papillary mucinous tumor of the pancreas in a young man: report of a case.
abstract: We report the rare case of an intraductal papillary mucinous tumor (IPMT) in a man younger than 30 years of age. The patient was admitted with upper abdominal pain and an elevated amylase level of 662 IU/l. Ultrasonography showed a cystic mass in the pancreatic body and endoscopic retrograde cholangiopancreatography (ERCP) revealed a dilated pancreatic duct with a filling defect communicating with the tumor. He was successfully treated by segmental resection, which seems to be the best surgical option for pancreatic body tumors since it results in long-term survival and preserves as much pancreatic parenchyma as possible. Nevertheless, it can only be done in the absence of additional nodules along the pancreatic duct. A pathological diagnosis of intraductal papillary adenocarcinoma of the noninvasive type was confirmed, and both stumps were free of tumor.
authors.affiliation: Department of Surgery II, Nagoya University School of Medicine, 65 Tsuruma-cho, Showa-ku, Nagoya, Aichi 466-8550, Japan.
authors.forename: Takamasa
authors.initials: T
authors.lastname: Tokoro
authors.forename: Luis S
authors.initials: LS
authors.lastname: Orti
authors.forename: Osamu
authors.initials: O
authors.lastname: Ookochi
authors.forename: Kenji
authors.initials: K
authors.lastname: Taniguchi
authors.forename: Takanori
authors.initials: T
authors.lastname: Hirai
authors.forename: Katsuya
authors.initials: K
authors.lastname: Yamashita
authors.forename: Soichiro
authors.initials: S
authors.lastname: Inoue
authors.forename: Shin
authors.initials: S
authors.lastname: Takeda
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kaneko
authors.forename: Akimasa
authors.initials: A
authors.lastname: Nakao
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis* / Q000601:surgery; D000231:Adenocarcinoma, Papillary / Q000175:diagnosis* / Q000601:surgery; D000328:Adult; D021441:Carcinoma, Pancreatic Ductal / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000601:surgery