Intraductal papillary-mucinous adenocarcinoma in the remnant pancreas after pancreatoduodenectomy for cancer of Vater's papilla associated with intraductal papillary-mucinous adenoma.

Intraductal papillary-mucinous adenocarcinoma in the remnant pancreas after pancreatoduodenectomy for cancer of Vater's papilla associated with intraductal papillary-mucinous adenoma. Research Abstract Details 

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Intraductal papillary-mucinous adenocarcinoma in the remnant pancreas after pancreatoduodenectomy for cancer of Vater's papilla associated with intraductal papillary-mucinous adenoma. Abstract Text:

Masaharu Ishida,Shinichi Egawa,Naoaki Sakata,Yukio Mikami,Fuyuhiko Motoi,Tadayoshi Abe,Shoji Fukuyama,Makoto Sunamura,Toru Furukawa,Michiaki Unno,Masaharu Ishida,Shinichi Egawa,Naoaki Sakata,Yukio Mikami,Fuyuhiko Motoi,Tadayoshi Abe,Shoji Fukuyama,Makoto Sunamura,Toru Furukawa,Michiaki Unno,

A 72-year-old woman, who had undergone pylorus-preserving pancreatoduodenectomy 3 years before for cancer of Vater's papilla associated with a branch-type intraductal papillary-mucinous adenoma (IPMA), developed dilatation of the main duct and a nodular lesion in the remnant pancreas. Total pancreatectomy was performed, which revealed that the lesion was intraductal papillary-mucinous adenocarcinoma (IPMC) with minimal invasion, suggesting the metachronous multicentric occurrence of this intraductal papillary-mucinous neoplasm (IPMN). Because there were no malignant cells at the pancreaticojejunostomy, and because the histological appearance of the main-duct IPMC was different from that of the IPMA in the primary specimen, the main-duct IPMC was thought to be of different origin from the IPMA. These findings suggest that careful surveillance of the gastrointestinal tract and careful follow up are necessary for IPMN, because an IPMN could be associated with other gastrointestinal tract malignancies.

Intraductal papillary-mucinous adenocarcinoma in the remnant pancreas after pancreatoduodenectomy for cancer of Vater's papilla associated with intraductal papillary-mucinous adenoma. Publishing Authors By Initials

M Ishida,S Egawa,N Sakata,Y Mikami,F Motoi,T Abe,S Fukuyama,M Sunamura,T Furukawa,M Unno,M Ishida,S Egawa,N Sakata,Y Mikami,F Motoi,T Abe,S Fukuyama,M Sunamura,T Furukawa,M Unno,

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Intraductal papillary-mucinous adenocarcinoma in the remnant pancreas after pancreatoduodenectomy for cancer of Vater's papilla associated with intraductal papillary-mucinous adenoma. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Journal of hepato-biliary-pancreatic surgery

VOLUME: 14

Page Numbers: 522-5

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ISSN: 0944-1166

DAY: 28

MONTH: 09

YEAR: 2007

Intraductal papillary-mucinous adenocarcinoma in the remnant pancreas after pancreatoduodenectomy for cancer of Vater's papilla associated with intraductal papillary-mucinous adenoma. Information

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LANGUAGE: eng

NlmUniqueID: 9431940

Intraductal papillary-mucinous adenocarcinoma in the remnant pancreas after pancreatoduodenectomy for cancer of Vater's papilla associated with intraductal papillary-mucinous adenoma. Keywords Mesh Terms:

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Grant and Affiliation Information for Intraductal papillary-mucinous adenocarcinoma in the remnant pancreas after pancreatoduodenectomy for cancer of Vater's papilla associated with intraductal papillary-mucinous adenoma.

AFFILIATION: Department of Gastroenterological Surgery, Tohoku University Graduate School of Medicine, 1-1 Seiryocho, Aobaku, Sendai, 980-8574, Japan.

Country: Japan

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MEDLINETA: J Hepatobiliary Pancreat Surg

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