1995 Volume 37 Issue 10 Pages 2240-2246_1
A63-year-old woman with liver cirrhosis was diagnosed as having a mucin-producingtumor of the pancreas. Pancreato duodenectomy was not elected as it was considered tobe a burden far the patient. Subsequent endascopic ultrasonagraphy during the 2.5-yearfollow-up period revealed growth of the papillary mass in the cyctzc cavity. The lesion vvasdiagnosed as carcinoma and surgical treatment was elected. Peroral pancreatoscopyshowed no tumor or abnormalities in the main pancreatic duct or at the entrance of thebranch. Uncinatectomy was performed. Histology verified a papillary adenocarcinomawithout parenchymal invasion. This report stresses the usefulness of the endoseopicapproach for follow-up and decision as the surgical procedures to he employed in patientswith this disease.
