Open Access

Curative resection of pancreatic ductal adenocarcinoma developing in the remnant pancreas 13 years after distal pancreatectomy for intraductal papillary mucinous neoplasms: A case report

  • Authors:
    • Takahiro Einama
    • Hirofumi Kamachi
    • Toshihiro Sakata
    • Kengo Shibata
    • Kazuki Wakizaka
    • Ko Sugiyama
    • Kazuaki Shibuya
    • Shingo Shimada
    • Kenji Wakayama
    • Tatsuya Orimo
    • Hideki Yokoo
    • Toshiya Kamiyama
    • Tomoko Mitsuhashi
    • Akinobu Taketomi
  • View Affiliations

  • Published online on: January 16, 2018     https://doi.org/10.3892/mco.2018.1556
  • Pages: 417-420
  • Copyright: © Einama et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Intraductal papillary mucinous neoplasms (IPMNs) are characterized by the papillary proliferation of atypical mucinous epithelial cells in the pancreatic ductal system. There are two recurrence patterns following resection of IPMNs: Metachronous multifocal occurrence of IPMNs, and distinct pancreatic ductal adenocarcinoma (PDAC) in the remnant pancreas. Several recent studies investigated the development of distinct PDAC during follow‑up evaluation of IPMNs and the incidence rate ranged from 4.5 to 8%. Thus, IMPNs may be a good predictor for the early detection of PDAC during observation or after the resection of IPMNs. We herein report the rare case of a patient who underwent resection of PDAC that developed in the remnant pancreas 13 years after distal pancreatectomy with splenectomy for IPMNs. PDAC may develop in the remnant pancreas after pancreatectomy for IPMNs; thus, careful long‑term follow‑up with periodic surveillance, at least every 6 months, is warranted.
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March-2018
Volume 8 Issue 3

Print ISSN: 2049-9450
Online ISSN:2049-9469

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Spandidos Publications style
Einama T, Kamachi H, Sakata T, Shibata K, Wakizaka K, Sugiyama K, Shibuya K, Shimada S, Wakayama K, Orimo T, Orimo T, et al: Curative resection of pancreatic ductal adenocarcinoma developing in the remnant pancreas 13 years after distal pancreatectomy for intraductal papillary mucinous neoplasms: A case report. Mol Clin Oncol 8: 417-420, 2018.
APA
Einama, T., Kamachi, H., Sakata, T., Shibata, K., Wakizaka, K., Sugiyama, K. ... Taketomi, A. (2018). Curative resection of pancreatic ductal adenocarcinoma developing in the remnant pancreas 13 years after distal pancreatectomy for intraductal papillary mucinous neoplasms: A case report. Molecular and Clinical Oncology, 8, 417-420. https://doi.org/10.3892/mco.2018.1556
MLA
Einama, T., Kamachi, H., Sakata, T., Shibata, K., Wakizaka, K., Sugiyama, K., Shibuya, K., Shimada, S., Wakayama, K., Orimo, T., Yokoo, H., Kamiyama, T., Mitsuhashi, T., Taketomi, A."Curative resection of pancreatic ductal adenocarcinoma developing in the remnant pancreas 13 years after distal pancreatectomy for intraductal papillary mucinous neoplasms: A case report". Molecular and Clinical Oncology 8.3 (2018): 417-420.
Chicago
Einama, T., Kamachi, H., Sakata, T., Shibata, K., Wakizaka, K., Sugiyama, K., Shibuya, K., Shimada, S., Wakayama, K., Orimo, T., Yokoo, H., Kamiyama, T., Mitsuhashi, T., Taketomi, A."Curative resection of pancreatic ductal adenocarcinoma developing in the remnant pancreas 13 years after distal pancreatectomy for intraductal papillary mucinous neoplasms: A case report". Molecular and Clinical Oncology 8, no. 3 (2018): 417-420. https://doi.org/10.3892/mco.2018.1556