Adenocarcinoma involving the whole pancreas with multiple pancreatic masses.
A 77-year-old man was referred to our hospital for further investigation of pancreatic masses. Imaging studies revealed hypovascular masses in the pancreatic head and body. Total pancreatectomy was performed under the diagnosis of double primary pancreatic carcinomas. Macroscopic examination revealed 3 nodules: one each in the pancreatic head, body, and tail. Microscopically, all 3 lesions showed similar carcinoma cells, which communicated with each other via the intraductal component, indicating a single large tumor. Incidentally, we also identified an adenocarcinoma of the common bile duct (CBD). The final diagnosis was synchronous double cancer involving the whole pancreas and the CBD.
Fujimori
Nao
N
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka.
Nakamura
Taichi
T
Oono
Takamasa
T
Igarashi
Hisato
H
Takahata
Shunichi
S
Nakamura
Masafumi
M
Tanaka
Masao
M
Hayashi
Akifumi
A
Aishima
Shinichi
S
Ishigami
Kousei
K
Ogoshi
Keiichiro
K
Ito
Tetsuhide
T
Takayanagi
Ryoichi
R
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000601:surgery; D000368:Aged; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000601:surgery