title: [A Case of Synchronous Multi-Centric Invasive Ductal Carcinomas of the Pancreas].
abstract: A 69-year-old man with left upper abdominal pain visited our hospital. Abdominal CT revealed a hypovascular mass(66× 57mm)in the pancreatic tail. MRI revealed hemorrhage and cysts in the caudal lesion of the tumor. The tumor involved the posterior wallof the stomach. Based on a diagnosis of pancreatic tailcancer with gastric posterior wallinvasion, distalpancreatectomy and partialgastrectomy were performed. Histopathologicalexamination indicated 2 adjacent tumors through a capsule in the pancreas tail. These tumors were diagnosed as synchronous invasive ductal carcinomas of the pancreas, which were anaplastic and papillary carcinomas. We report a rare case of synchronous multi-centric invasive ductalcarcinomas of the pancreas.
authors.affiliation: Dept. of Gastroenterological Surgery, Takatsuki General Hospital.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Sakamoto
authors.forename: Takuro
authors.initials: T
authors.lastname: Yoshikawa
authors.forename: Takahisa
authors.initials: T
authors.lastname: Akashi
authors.forename: Masato
authors.initials: M
authors.lastname: Hisano
authors.forename: Yu
authors.initials: Y
authors.lastname: Asakura
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Owada
authors.forename: Seiji
authors.initials: S
authors.lastname: Haji
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ienaga
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Ikura
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Iwai
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D002288:Adenocarcinoma, Mucinous / Q000150:complications / Q000601:surgery; D000368:Aged; D021441:Carcinoma, Pancreatic Ductal / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D009378:Neoplasms, Multiple Primary / Q000150:complications / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery