Concomitant pancreatic adenocarcinoma in a patient with branch-duct intraductal papillary mucinous neoplasm

Joanna K. Law, Christopher L. Wolfgang, Matthew J. Weiss, Anne Marie Lennon

Research output: Contribution to journalArticlepeer-review

Abstract

Branch duct intraductal papillary mucinous neoplasms (BD-IPMN) are pre-malignant pancreatic cystic lesions which carry a small risk of malignant transformation within the cyst. Guidelines exist with respect to surveillance of the cysts using computed tomography, magnetic resonance imaging, and/or endoscopic ultrasound (EUS). There are reports that patients with IPMNs are at increased risk of developing pancreatic adenocarcinoma, which arises in an area separate to the IPMNs. We present two cases of pancreatic adenocarcinoma arising within the parenchyma, distinct from the IPMN-associated cyst, identified with EUS. This case report highlights that patients with BD-IPMN are at increased risk for pancreatic adenocarcinoma separate from the cyst and also the importance for endosonographers to carefully survey the rest of the pancreatic parenchyma separate from the cyst in order to identify small pancreatic adenocarcinomas.

Original languageEnglish (US)
Pages (from-to)9200-9204
Number of pages5
JournalWorld Journal of Gastroenterology
Issue number27
DOIs
StatePublished - Jul 21 2014

Keywords

  • Endoscopic ultrasound
  • Intraductal papillary mucinous neoplasm
  • Pancreatic adenocarcinoma
  • Surveillance

ASJC Scopus subject areas

  • Gastroenterology

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