Abstract
Intraductal papillary mucinous neoplasms (IPMNs) of the pancreas are intraductally located, mucin-producing cystic neoplasms of the pancreas with a malignant potential. We report about a 54-year-old female who underwent segmental resection of the pancreas for non-invasive IPMN. The surgical margins were tumour-negative. Three years later a highly suspicious tumour of the pancreatic tail was detected during routine follow-up. Resection of the pancreatic tail was performed. The histological analysis revealed an adenocarcinoma. This case suggests the development of a pancreatic carcinoma from a non-invasive IPMN and raises the question about the extent of surgery of non-invasive IPMNs of the pancreas.
MeSH terms
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Adenocarcinoma / diagnostic imaging
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Adenocarcinoma / pathology
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Adenocarcinoma / surgery*
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Carcinoma, Pancreatic Ductal / classification
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Carcinoma, Pancreatic Ductal / diagnostic imaging
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Carcinoma, Pancreatic Ductal / pathology
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Carcinoma, Pancreatic Ductal / surgery*
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Cystadenoma, Mucinous / classification
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Cystadenoma, Mucinous / diagnostic imaging
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Cystadenoma, Mucinous / pathology
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Cystadenoma, Mucinous / surgery*
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Cystadenoma, Papillary / classification
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Cystadenoma, Papillary / diagnostic imaging
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Cystadenoma, Papillary / pathology
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Cystadenoma, Papillary / surgery*
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Female
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Humans
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Middle Aged
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Neoplasms, Multiple Primary / diagnostic imaging
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Neoplasms, Multiple Primary / pathology
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Neoplasms, Multiple Primary / surgery*
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Pancreas / pathology
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Pancreatectomy
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Radiography
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Reoperation