A Case of Invasive Ductal Carcinoma with Intraductal Papillary-Mucinous Tumor Requiring Total Pancreatectomy

Junji Okayama, Masayuki Sho, Naoya Ikeda, Michiyoshi Hisanaga, Saiho Ko, Tomomi Tamura¹⁾, Masahiro Tsutsumi²⁾, Akitaka Nonomura¹⁾ and Yoshiyuki Nakajima

Department of Surgery and Department of Diagnostic Pathology, Nara Medical University¹⁾
Department of Pathology, Saiseikai Chuwa Hospital²⁾

We report a case of pancreatic cancer with intraductal papillary-mucinous tumor (IPMT). A 67-year-old man admitted with brown urine and jaundice was found in computed tomography (CT) to have a low-density area suggesting pancreatic cancer in the pancreatic head. MRCP showed a multicystic lesion in the pancreatic head and two enlarged cystic masses in the pancreatic body and tail. He underwent total pancreatectomy with splenectomy. The pathological diagnosis was invasive ductal carcinoma with intraductal papillary-mucinous adenoma in the pancreatic head and multiple intraductal papillary-mucinous adenomas in the pancreatic body and tail.

Key words
pancreatic invasive ductal carcinoma, intraductal papillary-mucinous tumor, total pancreatectomy

Reprint requests
Junji Okayama Department of Surgery, Hoshigaoka Koseinenkin Hospital
4-8-1 Hoshigaoka, Hirakata, 573-8511 JAPAN

Accepted
January 31, 2007

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