Adenocarcinoma Involving the Whole Pancreas with Multiple Pancreatic Masses

Nao Fujimori; Taichi Nakamura; Takamasa Oono; Hisato Igarashi; Shunichi Takahata; Masafumi Nakamura; Masao Tanaka; Akifumi Hayashi; Shinichi Aishima; Kousei Ishigami; Keiichiro Ogoshi; Tetsuhide Ito; Ryoichi Takayanagi

doi:10.2169/internalmedicine.49.3347

CASE REPORTS

Adenocarcinoma Involving the Whole Pancreas with Multiple Pancreatic Masses

Nao Fujimori, Taichi Nakamura, Takamasa Oono, Hisato Igarashi, Shunichi Takahata, Masafumi Nakamura, Masao Tanaka, Akifumi Hayashi, Shinichi Aishima, Kousei Ishigami, Keiichiro Ogoshi, Tetsuhide Ito, Ryoichi Takayanagi

Author information

Nao Fujimori
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University
Taichi Nakamura
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University
Takamasa Oono
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University
Hisato Igarashi
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University
Shunichi Takahata
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
Masafumi Nakamura
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
Masao Tanaka
Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
Akifumi Hayashi
Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University
Shinichi Aishima
Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University
Kousei Ishigami
Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University
Keiichiro Ogoshi
Department of Gastroenterology, Fukuoka-Higashi Medical Center
Tetsuhide Ito
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University
Ryoichi Takayanagi
Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University

Keywords: adenocarcinoma of the whole pancreas, multiple pancreatic masses, synchronous double cancer

JOURNAL OPEN ACCESS

2010 Volume 49 Issue 15 Pages 1527-1532

DOI https://doi.org/10.2169/internalmedicine.49.3347

Details

Abstract

A 77-year-old man was referred to our hospital for further investigation of pancreatic masses. Imaging studies revealed hypovascular masses in the pancreatic head and body. Total pancreatectomy was performed under the diagnosis of double primary pancreatic carcinomas. Macroscopic examination revealed 3 nodules: one each in the pancreatic head, body, and tail. Microscopically, all 3 lesions showed similar carcinoma cells, which communicated with each other via the intraductal component, indicating a single large tumor. Incidentally, we also identified an adenocarcinoma of the common bile duct (CBD). The final diagnosis was synchronous double cancer involving the whole pancreas and the CBD.

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