Laparoscopic resection of an intraductal papillary mucinous carcinoma in ectopic pancreatic tissue.
Intraductal papillary mucinous neoplasia (IPMN) is a comparatively recently recognized pancreatic neoplasm with considerable malignant potential. Surgical removal is the only therapy known to provide a cure, but the extent of surgery required is still a matter of discussion. Ectopic pancreatic tissue can occur in a variety of other locations within the gastrointestinal tract and is also known to harbor pathologic conditions that affect normally located pancreatic tissue. In this paper, we present a case of an intraductal papillary mucinous carcinoma arising within the ectopic pancreatic tissue in the wall of the proximal duodenum. The lesion was removed by a laparoscopic resection. We believe this to be the first described case of a malignant IPMN to arise within ectopic pancreatic tissue and also the first report of the laparoscopic removal of any ectopic pancreatic IPMN.
Røsok
Bård I
BI
Section for Gastrointestinal Surgery, Rikshospitalet-Radiumhospitalet University Hospital, Oslo, Norway. bard.ingvald.rosok@rikshospitalet.no
Rosseland
Arne R
AR
Grzyb
Krysztof
K
Mathisen
Oystein
O
Edwin
Bjørn
B
D002288:Adenocarcinoma, Mucinous / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000231:Adenocarcinoma, Papillary / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D021441:Carcinoma, Pancreatic Ductal / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D002828:Choristoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D004378:Duodenal Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010179:Pancreas; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed