title: [Synchronous double invasive ductal carcinomas of the pancreas with multifocal branch duct intraductal papillary mucinous neoplasms of the pancreas].
abstract: A 52-year-old man with a history of distal gastrectomy for gastric cancer was admitted to our hospital because of jaundice. CT scan revealed double tumors in the pancreatic head and body concomitant with multicystic lesions of the pancreas. Total pancreatectomy with splenectomy and remnant gastrectomy was performed. Final histological diagnosis was double invasive ductal carcinomas of the pancreas head and tail with multifocal branch duct intraductal papillary mucinous adenomas of the pancreas. The present case suggests that entire pancreas might have malignant potential in patients with intraductal papillary mucinous neoplasms.
authors.affiliation: Department of Gastroenterology, Asahikawa City Hospital. kazuya-k@f3.dion.ne.jp
authors.forename: Kazuya
authors.initials: K
authors.lastname: Koizumi
authors.forename: Tsuneshi
authors.initials: T
authors.lastname: Fujii
authors.forename: Akinori
authors.initials: A
authors.lastname: Matsumoto
authors.forename: Ryuji
authors.initials: R
authors.lastname: Sugiyama
authors.forename: Satoshi
authors.initials: S
authors.lastname: Suzuki
authors.forename: Ryuji
authors.initials: R
authors.lastname: Sukegawa
authors.forename: Kenichirou
authors.initials: K
authors.lastname: Ozawa
authors.forename: Fumika
authors.initials: F
authors.lastname: Orii
authors.forename: Masaki
authors.initials: M
authors.lastname: Taruishi
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Saitoh
authors.forename: Masashi
authors.initials: M
authors.lastname: Sotokawa
authors.forename: Akio
authors.initials: A
authors.lastname: Takada
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D021441:Carcinoma, Pancreatic Ductal / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D002291:Carcinoma, Papillary / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009378:Neoplasms, Multiple Primary; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D013156:Splenectomy