Pancreatic intraductal papillary mucinous neoplasm with concomitant heterotopic pancreatic cystic neoplasia of the stomach: a case report and review of the literature.
A 60-year-old Caucasian male underwent a total pancreatectomy for a mixed type pancreatic intraductal papillary mucinous neoplasm (IPMN) arising in the main and secondary pancreatic ducts. During surgery, a subserosal polypoid mass was noted at the greater curvature of the gastric antrum and was enucleated. This mass was proven to be heterotopic pancreatic tissue with cystic neoplasia of the IPMN histologic subtype. Through an extensive search of the literature, we found that this is the first case ever reported with simultaneous existence of IPMN changes, in the main and secondary ducts of the orthotopic pancreas and in the heterotopic pancreatic tissue of the gastric wall.
Tsapralis
Dimitrios
D
Department of Pathology, Athens University Medical School, Attikon University Hospital, Athens, Greece.
Charalabopoulos
Alexandros
A
Karamitopoulou
Eva
E
Schizas
Dimitrios
D
Charalabopoulos
Konstantinos
K
Liakakos
Theodoros
T
Macheras
Anastasios
A
D001706:Biopsy; D021441:Carcinoma, Pancreatic Ductal / Q000473:pathology / Q000601:surgery*; D002291:Carcinoma, Papillary / Q000473:pathology / Q000601:surgery*; D049448:Cholangiopancreatography, Magnetic Resonance; D002828:Choristoma; D005743:Gastrectomy; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008875:Middle Aged; D018297:Neoplasms, Cystic, Mucinous, and Serous / Q000473:pathology / Q000601:surgery*; D010179:Pancreas; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D013156:Splenectomy; D013272:Stomach Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome