Intraductal papillary mucinous tumor of the pancreas in a young man: report of a case

Surg Today. 2003;33(2):138-41. doi: 10.1007/s005950300031.

Abstract

We report the rare case of an intraductal papillary mucinous tumor (IPMT) in a man younger than 30 years of age. The patient was admitted with upper abdominal pain and an elevated amylase level of 662 IU/l. Ultrasonography showed a cystic mass in the pancreatic body and endoscopic retrograde cholangiopancreatography (ERCP) revealed a dilated pancreatic duct with a filling defect communicating with the tumor. He was successfully treated by segmental resection, which seems to be the best surgical option for pancreatic body tumors since it results in long-term survival and preserves as much pancreatic parenchyma as possible. Nevertheless, it can only be done in the absence of additional nodules along the pancreatic duct. A pathological diagnosis of intraductal papillary adenocarcinoma of the noninvasive type was confirmed, and both stumps were free of tumor.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma, Mucinous / diagnosis*
  • Adenocarcinoma, Mucinous / surgery
  • Adenocarcinoma, Papillary / diagnosis*
  • Adenocarcinoma, Papillary / surgery
  • Adult
  • Carcinoma, Pancreatic Ductal / diagnosis*
  • Carcinoma, Pancreatic Ductal / surgery
  • Humans
  • Male
  • Pancreatic Neoplasms / diagnosis*
  • Pancreatic Neoplasms / surgery