A Case of Synchronous Multi-Centric Invasive Ductal Carcinomas of the Pancreas

A 69-year-old man with left upper abdominal pain visited our hospital. Abdominal CT revealed a hypovascular mass(66× 57mm)in the pancreatic tail. MRI revealed hemorrhage and cysts in the caudal lesion of the tumor. The tumor involved the posterior wallof the stomach. Based on a diagnosis of pancreat...

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Published inGan to kagaku ryoho Vol. 43; no. 12; p. 1991
Main Authors Sakamoto, Hiroki, Yoshikawa, Takuro, Akashi, Takahisa, Hisano, Masato, Asakura, Yu, Owada, Yoshiyuki, Haji, Seiji, Ienaga, Tetsuya, Ikura, Yoshihiro, Iwai, Yasuhiro
Format Journal Article
LanguageJapanese
Published Japan 01.11.2016
Subjects
Abdominal Pain - etiology
Adenocarcinoma, Mucinous - complications
Adenocarcinoma, Mucinous - surgery
Aged
Carcinoma, Pancreatic Ductal - complications
Carcinoma, Pancreatic Ductal - surgery
Humans
Male
Neoplasm Invasiveness
Neoplasms, Multiple Primary - complications
Neoplasms, Multiple Primary - surgery
Pancreatic Neoplasms - complications
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - surgery
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Summary:A 69-year-old man with left upper abdominal pain visited our hospital. Abdominal CT revealed a hypovascular mass(66× 57mm)in the pancreatic tail. MRI revealed hemorrhage and cysts in the caudal lesion of the tumor. The tumor involved the posterior wallof the stomach. Based on a diagnosis of pancreatic tailcancer with gastric posterior wallinvasion, distalpancreatectomy and partialgastrectomy were performed. Histopathologicalexamination indicated 2 adjacent tumors through a capsule in the pancreas tail. These tumors were diagnosed as synchronous invasive ductal carcinomas of the pancreas, which were anaplastic and papillary carcinomas. We report a rare case of synchronous multi-centric invasive ductalcarcinomas of the pancreas.
ISSN:0385-0684