title: [A case of successful resection for recurrent intraductal papillary mucinous adenocarcinoma].
abstract: 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.
authors.affiliation: Dept. of Surgery, National Hospital Organization Osaka National Hospital.
authors.forename: Masaki
authors.initials: M
authors.lastname: Kashiwazaki
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Takeda
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Hasuike
authors.forename: Norikazu
authors.initials: N
authors.lastname: Masuda
authors.forename: Masakazu
authors.initials: M
authors.lastname: Ikenaga
authors.forename: Motohiro
authors.initials: M
authors.lastname: Hirao
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Fujitani
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Mishima
authors.forename: Toshiro
authors.initials: T
authors.lastname: Sawamura
authors.forename: Shoji
authors.initials: S
authors.lastname: Nakamori
authors.forename: Masashi
authors.initials: M
authors.lastname: Takeda
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Mano
authors.forename: Toshimasa
authors.initials: T
authors.lastname: Tsujinaka
mesh_terms: 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