title: Adenocarcinoma involving the whole pancreas with multiple pancreatic masses.
abstract: 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.
authors.affiliation: Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka.
authors.forename: Nao
authors.initials: N
authors.lastname: Fujimori
authors.forename: Taichi
authors.initials: T
authors.lastname: Nakamura
authors.forename: Takamasa
authors.initials: T
authors.lastname: Oono
authors.forename: Hisato
authors.initials: H
authors.lastname: Igarashi
authors.forename: Shunichi
authors.initials: S
authors.lastname: Takahata
authors.forename: Masafumi
authors.initials: M
authors.lastname: Nakamura
authors.forename: Masao
authors.initials: M
authors.lastname: Tanaka
authors.forename: Akifumi
authors.initials: A
authors.lastname: Hayashi
authors.forename: Shinichi
authors.initials: S
authors.lastname: Aishima
authors.forename: Kousei
authors.initials: K
authors.lastname: Ishigami
authors.forename: Keiichiro
authors.initials: K
authors.lastname: Ogoshi
authors.forename: Tetsuhide
authors.initials: T
authors.lastname: Ito
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Takayanagi
mesh_terms: 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