A resection case of an intraductal papillary mucinous tumor

Abstract

A 53-year-old female complaining with epigastralgia was raferred to our hospital. She was recognized hyperglycemia and a rise of pancreatic enzyme in peripheral blood examination. Abdominal US showed the solid and cystic tumor which was size of 41×37×32mm in pancreas head and the obvious dilatation of MPD which was 22mm of in diameter. Abdominal CT showed the pancreas head tumor with enhancement. EUS revealed the obvious dilatation of MPD and papillary tumor inside of MPD at pancreas head. ERCP showed wide opening of the MPD with mucous exudates and the dilatation of MPD. Cytological diagnosis of pancreatic juice was definite malignancy (ClassV) . The patient was underwent surgical operation. Pathological diagnosis for resected specimen was IPMT, borderline malignancy. We reported a case of an intraductal papillary mucinous tumor, with summary of IPMT literature in Japan.