A case of remnant pancreatic cancer following distal pancreatectomy and partial pancreatic resection for ipmc

Abstract

A 59-year-old man underwent distal pancreatectomy and splenectomy for Intraductal Papillary Mucinous Carcinoma (IPMC) with minimal invasion in April 1999. As a cystic tumor at the stump of the remnant pancreas was revealed, partial resection of the remnant pancreas was performed in November 2002. The pathological diagnosis was invasive pancreatic cancer derived from IPMC. In July 2004, total resection of the remnant pancreas and duodenectomy was performed for invasive pancreatic cancer in the unchus of the pancreas. As patients with invasive IPMCs have high risk of recurrence and have possibilities of occurrence of ordinary-typed pancreatic cancer, we should be careful in the follow-up of these patients.