[Carcinoma of the pancreas at the site of an intraductal papillary mucinous neoplasia].
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.
Fieger
A J
AJ
Klinik für Allgemein-, Viszeralchirurgie, endokrine Chirurgie und Coloproktologie, Klinikum Neuperlach, Städtisches Klinikum München, GmbH, Oskar-Maria-Graf-Ring51, München. alexander_fieger@yahoo.de
Demmel
N
N
Mündel
D F-X
DF
Schenck
R M
RM
Harnisch
T
T
Nüssler
N C
NC
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