Pancreatic Duct Stricture That Rapidly Progressed to Pancreatic Ductal Adenocarcinoma and Formed a Mass within 3 Months: A Case Report

Case Reports in Gastroenterology
Shin KatoFumihito Kunishima

Abstract

The natural growth rate of pancreatic carcinoma in situ with pancreatic duct stricture remains unclear. Herein, we present a case with pancreatic duct stricture that rapidly grew to form a mass lesion within 3 months. A 74-year-old woman was referred to us for the investigation of a pancreatic duct dilatation. Initial images did not reveal any clear mass lesions near the pancreatic duct stricture. Pancreatic juice cytology showed suspicious findings. Distal pancreatectomy was recommended; however, the patient refused to undergo surgical treatment at that time. Images taken 3 months later demonstrated a nodular pancreatic body mass which was identified as a moderately to poorly differentiated tubular adenocarcinoma. Previous reports have suggested that pancreatic carcinoma in situ and small pancreatic ductal adenocarcinoma require at least 1-2 years to progress to an advanced mass. This case suggests that pancreatic carcinoma in situ may grow rapidly and indicates a need for close follow-up in patients with pancreatic duct strictures, even if the pathological evidence is not confirmed.

References

Feb 1, 1993·International Journal of Pancreatology : Official Journal of the International Association of Pancreatology·T NagakawaI Miyazaki
Sep 24, 1998·Journal of Hepato-biliary-pancreatic Surgery·T TsunodaT Eto
Mar 20, 2008·World Journal of Gastroenterology : WJG·Takeshi HisaKoichi Suda
Jun 25, 2013·International Journal of Surgery Case Reports·Tsukasa NakamuraHirotaka Sako
Dec 17, 2014·Journal of Gastroenterology·Keiji HanadaShuji Yonehara
Oct 5, 2016·Journal of Gastrointestinal Cancer·Su Joa AhnHyung Sik Kim

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Methods Mentioned

BETA
surgical resection
pancreatectomy

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Carcinoma, Ductal

Ductal carcinoma is a malignant neoplasm involving the ductal systems of any of a number of organs, such as the mammary glands, pancreas, prostate or lacrimal gland. Discover the latest research on ductal carcinoma here.