A CASE OF DOUBLE CANCERS WITH MINIATURE INTRADUCTAL PAPILLARY ADENOCARCINOMA OF THE PANCREAS AND THE OVARIAN CARCINOMA

Abstract

The case was a 73-year-old female, and admitted to our hospital with a complaint of epigastralgia based on acute pancreatitis. Abdominal CT, MRCP, and ERCP revealed a stenosis of main pancreatic duct in the body of pancreas and a slight dilation of distal pancreatic duct, but no SOL was detected in the pancreas. In addition, the telomerase activity in pancreatic juice was positive. Simultaneously, ovarian carcinoma was recognized. And then, distal pancreatectomy and ovariotomy was performed. Pathological study showed intraductal papillary adenocarcinoma with minimal invasion outside the pancreatic duct, and coexistence of the ovarian serous cystadenocarcinoma. We reported a rare case of miniature intraductal papillary adenocarcinoma coexisted with ovarian serous cystadenocarcinoma.