Intraductal Papillary Mucinous Carcinoma with High Fluorodeoxyglucose Uptake in a Thickened Cystic Wall

We report a case of intraductal papillary mucinous carcinoma (IPMC) with high fluorodeoxyglucose uptake in the thickened cystic wall. We diagnosed branched intraductal papillary mucinous neoplasm (IPMN) in a 60-year-old man by CT examination. A half year later, significant thickening wall of the IPM...

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Published inThe Japanese Journal of Gastroenterological Surgery Vol. 45; no. 6; pp. 637 - 643
Main Authors Hashiguchi, Motoyuki, Shinchi, Hiroyuki, Maemura, Kousei, Mataki, Yukou, Kurahara, Hiroshi, Ueno, Shinichi, Sakoda, Masahiko, Iino, Satoshi, Takao, Sonshin, Natsugoe, Shoji
Format Journal Article
LanguageJapanese
Published The Japanese Society of Gastroenterological Surgery 01.06.2012
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Summary:We report a case of intraductal papillary mucinous carcinoma (IPMC) with high fluorodeoxyglucose uptake in the thickened cystic wall. We diagnosed branched intraductal papillary mucinous neoplasm (IPMN) in a 60-year-old man by CT examination. A half year later, significant thickening wall of the IPMN cyst was recognized on CT. According to the FDG-PET finding high fluorodeoxyglucose uptake agreed with the thickened cystic wall. Since the tumor was diagnosed as IPMC, pancreatoduodenectomy was performed. The pathological diagnosis was IPMC with minimal invasion, because of lining by the atypical epithelium cell of the cyst wall. Malignant tumor cells were found in parts of the thickened wall, and inflammatory cell infiltration with mainly lymphocytes in the other most parts. High FDG-PET fluorodeoxyglucose uptake was suspected at the thickened wall with inflammation.
ISSN:0386-9768
1348-9372
DOI:10.5833/jjgs.45.637