title: Pancreatic adenocarcinoma in paraduodenal pancreatitis: a note of caution for conservative treatments.
abstract: Paraduodenal pancreatitis in heterotopic pancreas is a rare condition and few cases of malignant transformation are described. A case of cystic dystrophy of the duodenal wall in heterotopic pancreas complicated with pancreatic adenocarcinoma is described. Computed tomography, magnetic resonance and endoscopic ultrasonography failed to show preoperatively, the locally advanced adenocarcinoma raising reasonable doubts on the effectiveness and safety of conservative treatments for paraduodenal pancreatitis.
authors.affiliation: Division of General, Vascular, Minimally Invasive and Robotic Surgery, Department of Surgery, Hospital San Matteo degli Infermi, ASL 3 dell'Umbria,Via Loreto, 06049, Spoleto, Italy. albertopatriti@gmail.com
authors.forename: Alberto
authors.initials: A
authors.lastname: Patriti
authors.forename: Danilo
authors.initials: D
authors.lastname: Castellani
authors.forename: Antonietta
authors.initials: A
authors.lastname: Partenzi
authors.forename: Marco
authors.initials: M
authors.lastname: Carlani
authors.forename: Luciano
authors.initials: L
authors.lastname: Casciola
mesh_terms: D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D019160:Endosonography; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010195:Pancreatitis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014057:Tomography, X-Ray Computed