title: [A case of minimal invasive carcinoma from intraductal papillary mucinous neoplasm with invasive ductal carcinoma of the pancreas].
abstract: A 69-year-old man was referred to our hospital for epigastralgia. He was found to have elevation of serum amylase and CA19-9. Ultrasonography, abdominal CT, MRCP, ERCP and EUS showed the cystic lesion and a possibility of an other tumor. There was a stenosis of the main pancreatic duct (MPD) at the pancreas head and dilatation of the MPD from the body to the tail. Intraductal papillary mucinous neoplasm (IPMN) of the branch pancreatic duct was diagnosed, and there was a likelihood of ductal carcinoma of the pancreas. We therefore performed pancreatoduodenectomy. Pathological finding showed invasive carcinoma from an intraductal papillary mucinous neoplasm with invasive ductal carcinoma of the pancreas.
authors.affiliation: Department of Gastroenterology and Hepatology, Nantan General Hospital.
authors.forename: Masami
authors.initials: M
authors.lastname: Miyagawa
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Kanemasa
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Nitan
authors.forename: Masafumi
authors.initials: M
authors.lastname: Matsumoto
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Tokita
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Kajita
authors.forename: Akio
authors.initials: A
authors.lastname: Yanagisawa
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Teruhisa
authors.initials: T
authors.lastname: Sonoyama
authors.forename: Hisakazu
authors.initials: H
authors.lastname: Yamagishi
authors.forename: Shoji
authors.initials: S
authors.lastname: Mitsufuji
authors.forename: Takeshi
authors.initials: T
authors.lastname: Okanoue
mesh_terms: D000368:Aged; D021441:Carcinoma, Pancreatic Ductal / Q000175:diagnosis* / Q000473:pathology; D002291:Carcinoma, Papillary / Q000175:diagnosis* / Q000473:pathology; D002760:Cholangiopancreatography, Endoscopic Retrograde; D018282:Cystadenocarcinoma, Mucinous / Q000175:diagnosis* / Q000473:pathology; D019160:Endosonography; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000473:pathology; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed