A case of undifferentiated carcinoma of the pancreas mimicking main-duct intraductal papillary mucinous neoplasm (IPMN)

Verfasser / Beitragende:
[Yuichi Kawai, Rei Nakamichi, Noriko Kamata, Hideo Miyake, Masahiko Fujino, Shigeki Itoh]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/3(2015-03-01), 466-470
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-014-0326-3  |2 doi 
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245 0 2 |a A case of undifferentiated carcinoma of the pancreas mimicking main-duct intraductal papillary mucinous neoplasm (IPMN)  |h [Elektronische Daten]  |c [Yuichi Kawai, Rei Nakamichi, Noriko Kamata, Hideo Miyake, Masahiko Fujino, Shigeki Itoh] 
520 3 |a We report here a rare case of undifferentiated carcinoma of the pancreas mimicking main-duct intraductal papillary mucinous neoplasm. In an 80-year-old woman, an approximately 8-mm papillary mass was incidentally detected at the downstream edge of a dilatated main pancreatic duct lumen on CT and MRI. Main pancreatic duct dilatation in the pancreatic body and tail and parenchymal atrophy were observed in the upstream of the mass. Histopathologically, the tumor protruded into the downstream edge of the dilatated main pancreatic duct lumen in the pancreatic body. The tumor cells had highly atypical nuclei and abundant polymorphic structures, and showed positive staining for granulocyte colony-stimulating factor, which led to the diagnosis of undifferentiated carcinoma. A total of 13 cases of undifferentiated carcinoma with intraductal tumor growth have been reported to date. The case report by Bergmann et al. has been the smallest in histopathological specimen, and the present case is the smallest in size detected by radiological images. Since early undifferentiated carcinoma of the pancreas can resemble those of main-duct intraductal papillary mucinous neoplasm in cross-sectional images, we have to consider undifferentiated carcinoma in the differential diagnosis of the solitary and papillary mass with low contrast enhancement in early phase in the main pancreatic duct. 
540 |a The Author(s), 2014 
690 7 |a Undifferentiated carcinoma of the pancreas  |2 nationallicence 
690 7 |a Main-duct intraductal papillary mucinous neoplasm  |2 nationallicence 
690 7 |a Intraductal tumor growth  |2 nationallicence 
690 7 |a Main pancreatic duct dilatation  |2 nationallicence 
700 1 |a Kawai  |D Yuichi  |u Department of Diagnostic Radiology, Japanese Red Cross Nagoya Daiichi Hospital, 3-35 Michishita-cho, Nakamura-ku, 453-8511, Nagoya, Aichi, Japan  |4 aut 
700 1 |a Nakamichi  |D Rei  |u Department of Diagnostic Radiology, Japanese Red Cross Nagoya Daiichi Hospital, 3-35 Michishita-cho, Nakamura-ku, 453-8511, Nagoya, Aichi, Japan  |4 aut 
700 1 |a Kamata  |D Noriko  |u Department of Diagnostic Radiology, Japanese Red Cross Nagoya Daiichi Hospital, 3-35 Michishita-cho, Nakamura-ku, 453-8511, Nagoya, Aichi, Japan  |4 aut 
700 1 |a Miyake  |D Hideo  |u General and Gastroenterological Surgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan  |4 aut 
700 1 |a Fujino  |D Masahiko  |u Department of Pathology, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan  |4 aut 
700 1 |a Itoh  |D Shigeki  |u Department of Diagnostic Radiology, Japanese Red Cross Nagoya Daiichi Hospital, 3-35 Michishita-cho, Nakamura-ku, 453-8511, Nagoya, Aichi, Japan  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/3(2015-03-01), 466-470  |x 0942-8925  |q 40:3<466  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-014-0326-3  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kawai  |D Yuichi  |u Department of Diagnostic Radiology, Japanese Red Cross Nagoya Daiichi Hospital, 3-35 Michishita-cho, Nakamura-ku, 453-8511, Nagoya, Aichi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nakamichi  |D Rei  |u Department of Diagnostic Radiology, Japanese Red Cross Nagoya Daiichi Hospital, 3-35 Michishita-cho, Nakamura-ku, 453-8511, Nagoya, Aichi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kamata  |D Noriko  |u Department of Diagnostic Radiology, Japanese Red Cross Nagoya Daiichi Hospital, 3-35 Michishita-cho, Nakamura-ku, 453-8511, Nagoya, Aichi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Miyake  |D Hideo  |u General and Gastroenterological Surgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Fujino  |D Masahiko  |u Department of Pathology, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Itoh  |D Shigeki  |u Department of Diagnostic Radiology, Japanese Red Cross Nagoya Daiichi Hospital, 3-35 Michishita-cho, Nakamura-ku, 453-8511, Nagoya, Aichi, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/3(2015-03-01), 466-470  |x 0942-8925  |q 40:3<466  |1 2015  |2 40  |o 261