title: [Carcinoma of the pancreas at the site of an intraductal papillary mucinous neoplasia].
abstract: Intraductal papillary mucinous neoplasms (IPMNs) of the pancreas are intraductally located, mucin-producing cystic neoplasms of the pancreas with a malignant potential. We report about a 54-year-old female who underwent segmental resection of the pancreas for non-invasive IPMN. The surgical margins were tumour-negative. Three years later a highly suspicious tumour of the pancreatic tail was detected during routine follow-up. Resection of the pancreatic tail was performed. The histological analysis revealed an adenocarcinoma. This case suggests the development of a pancreatic carcinoma from a non-invasive IPMN and raises the question about the extent of surgery of non-invasive IPMNs of the pancreas.
authors.affiliation: Klinik für Allgemein-, Viszeralchirurgie, endokrine Chirurgie und Coloproktologie, Klinikum Neuperlach, Städtisches Klinikum München, GmbH, Oskar-Maria-Graf-Ring51, München. alexander_fieger@yahoo.de
authors.forename: A J
authors.initials: AJ
authors.lastname: Fieger
authors.forename: N
authors.initials: N
authors.lastname: Demmel
authors.forename: D F-X
authors.initials: DF
authors.lastname: Mündel
authors.forename: R M
authors.initials: RM
authors.lastname: Schenck
authors.forename: T
authors.initials: T
authors.lastname: Harnisch
authors.forename: N C
authors.initials: NC
authors.lastname: Nüssler
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D021441:Carcinoma, Pancreatic Ductal / Q000145:classification / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D018291:Cystadenoma, Mucinous / Q000145:classification / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D018292:Cystadenoma, Papillary / Q000145:classification / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010179:Pancreas / Q000473:pathology; D010180:Pancreatectomy; D011859:Radiography; D012086:Reoperation