2019 Volume 44 Issue 5 Pages 985-990
An 82-year-old male was followed up by the physician in our hospital because he had been suffering from chronic hepatitis C, hepatocellular carcinoma and a cystic lesion of the pancreatic tail. Abdominal CT showed an irregular and poorly enhanced tumor measuring 18 mm in diameter and dilatation of the distal main pancreatic duct. FDG-PET showed a slight uptake by the pancreatic tail. The levels of serum CEA, CA19-9, and Span-1 were elevated. The patient was admitted to our department with a diagnosis of pancreatic tail carcinoma. He underwent a distal pancreatectomy with splenectomy. Histopathological examination revealed that the tumor in the distal pancreas was a moderately differentiated adenocarcinoma and the cystic tumor was a true cyst. In addition, a neuroendocrine tumor measuring 2 mm in diameter was incidentally detected near the pancreatic cancer. The patient’s postoperative course was uneventful and he was discharged from our hospital on postoperative day 11. He received adjuvant chemotherapy with S-1 for 6 months, and he was alive without recurrence 13 months after surgery. Since a ductal adenocarcinoma with a neuroendocrine tumor in the pancreas is a relatively rare occurrence, we report on this case with some bibliographical comments.
