[A case of successful resection for recurrent intraductal papillary mucinous adenocarcinoma].
Intraductal papillary-mucinous neoplasms (IPMN) of the pancreas have recently been defined and classified by the World Health Organization. In addition, many cases of IPMN continue to be recognized frequently. We report a case of a 65-year-old female who underwent surgical resection of the pancreas twice within a period of 6 months for primary and recurrent IPMN. We first performed distal pancreatectomy with splenectomy for IPMN in the pacreatic body. A histopathological study revealed invasive adenocarcinoma and the negative margin of the pancreatic duct. A cystic mass in the uncinate process of the gland was identified by CT scan 6 months after the initial surgery. Complete pancreaticoduodenectomy was performed. Recurrent IPMN consisted of adenosquamous cell carcinoma. She currently is alive without evidence of disease at 3 years from the second resection. Recurrent disease in the residual pancreas suggests that a long-term surveillance is critical.
Kashiwazaki
Masaki
M
Dept. of Surgery, National Hospital Organization Osaka National Hospital.
Takeda
Yutaka
Y
Hasuike
Yasunori
Y
Masuda
Norikazu
N
Ikenaga
Masakazu
M
Hirao
Motohiro
M
Fujitani
Kazumasa
K
Mishima
Hideyuki
H
Sawamura
Toshiro
T
Nakamori
Shoji
S
Takeda
Masashi
M
Mano
Yoshiyuki
Y
Tsujinaka
Toshimasa
T
D002288:Adenocarcinoma, Mucinous / Q000601:surgery*; D000231:Adenocarcinoma, Papillary / Q000601:surgery*; D000368:Aged; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local; D010183:Pancreatic Ducts; D010190:Pancreatic Neoplasms / Q000601:surgery*; D012086:Reoperation