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

• Published in: Surgery today (Tokyo, Japan) Japan), 2003-01, Vol.33 (2), p.138-141
• Main Authors: Tokoro, Takamasa, Orti, Luis S, Ookochi, Osamu, Taniguchi, Kenji, Hirai, Takanori, Yamashita, Katsuya, Inoue, Soichiro, Takeda, Shin, Kaneko, Tetsuya, Nakao, Akimasa
• Format: Article
• Language: English
• Subjects: 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
• ISSN: 0941-1291; 1436-2813
• DOI: 10.1007/s005950300031

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.