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Can an intraductal papillary mucinous tumor be a potential indicator of concurrent adenocarcinoma of the pancreas?
JOP. 2010 Jan 08; 11(1):55-7.JOP

Abstract

CONTEXT

Despite the recent progress of diagnostic and therapeutic modalities, survival rates of pancreatic adenocarcinoma remain poor, mainly due to late diagnosis.

CASE REPORT

We report the case of a 56-year-old man who was diagnosed with a symptomatic intraductal papillary mucinous tumor of the pancreas located in the uncus. This tumor was associated with a concurrent stenosis of the isthmic pancreatic duct which resulted in a distal dilation. A Whipple procedure was performed. During the procedure, a concomitant adenocarcinoma was diagnosed 2 cm from the primary intraductal papillary mucinous tumor, causing the isthmic stenosis. A second resection was then performed to the left of the pancreatic isthmus, and adjuvant chemotherapy was performed. The patient is well and without any sign of recurrence 7 months after surgery.

CONCLUSION

We discuss the possibility that intraductal papillary mucinous tumors may be a "red flag" enabling earlier diagnosis of a concurrent pancreatic adenocarcinoma arising in another area of the pancreas.

Links

Publisher Full Text

Authors+Show Affiliations

Jarry J
Department of Surgery, Haut Leveque Hospital, Avenue Magellan, 33000 Bordeaux, France. julienjarry@hotmail.com
Belleannee G
No affiliation info available
Rault A
No affiliation info available
Sa Cunha A
No affiliation info available
Collet D
No affiliation info available

MeSH

AdenocarcinomaAdenocarcinoma, MucinousCarcinoma, Pancreatic DuctalCarcinoma, PapillaryDiagnosis, DifferentialEarly Detection of CancerHumansMaleMiddle AgedNeoplasms, Multiple PrimaryPancreatic Neoplasms

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

20065554

Citation

Jarry, Julien, et al. "Can an Intraductal Papillary Mucinous Tumor Be a Potential Indicator of Concurrent Adenocarcinoma of the Pancreas?" JOP : Journal of the Pancreas, vol. 11, no. 1, 2010, pp. 55-7.
Jarry J, Belleannee G, Rault A, et al. Can an intraductal papillary mucinous tumor be a potential indicator of concurrent adenocarcinoma of the pancreas? JOP. 2010;11(1):55-7.
Jarry, J., Belleannee, G., Rault, A., Sa Cunha, A., & Collet, D. (2010). Can an intraductal papillary mucinous tumor be a potential indicator of concurrent adenocarcinoma of the pancreas? JOP : Journal of the Pancreas, 11(1), 55-7.
Jarry J, et al. Can an Intraductal Papillary Mucinous Tumor Be a Potential Indicator of Concurrent Adenocarcinoma of the Pancreas. JOP. 2010 Jan 8;11(1):55-7. PubMed PMID: 20065554.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Can an intraductal papillary mucinous tumor be a potential indicator of concurrent adenocarcinoma of the pancreas? AU - Jarry,Julien, AU - Belleannee,Genevieve, AU - Rault,Alexandre, AU - Sa Cunha,Antonio, AU - Collet,Denis, Y1 - 2010/01/08/ PY - 2010/1/13/entrez PY - 2010/1/13/pubmed PY - 2010/3/17/medline SP - 55 EP - 7 JF - JOP : Journal of the pancreas JO - JOP VL - 11 IS - 1 N2 - CONTEXT: Despite the recent progress of diagnostic and therapeutic modalities, survival rates of pancreatic adenocarcinoma remain poor, mainly due to late diagnosis. CASE REPORT: We report the case of a 56-year-old man who was diagnosed with a symptomatic intraductal papillary mucinous tumor of the pancreas located in the uncus. This tumor was associated with a concurrent stenosis of the isthmic pancreatic duct which resulted in a distal dilation. A Whipple procedure was performed. During the procedure, a concomitant adenocarcinoma was diagnosed 2 cm from the primary intraductal papillary mucinous tumor, causing the isthmic stenosis. A second resection was then performed to the left of the pancreatic isthmus, and adjuvant chemotherapy was performed. The patient is well and without any sign of recurrence 7 months after surgery. CONCLUSION: We discuss the possibility that intraductal papillary mucinous tumors may be a "red flag" enabling earlier diagnosis of a concurrent pancreatic adenocarcinoma arising in another area of the pancreas. SN - 1590-8577 UR - https://www.unboundmedicine.com/medline/citation/20065554/Can_an_intraductal_papillary_mucinous_tumor_be_a_potential_indicator_of_concurrent_adenocarcinoma_of_the_pancreas L2 - http://www.joplink.net/prev/201001/08.html DB - PRIME DP - Unbound Medicine ER -