Recurrent invasive intraductal papillary mucinous carcinoma of the pancreas mimicking pott disease: review of the literature

Pancreas
Carlos U CorveraMichael D'Angelica

Abstract

Specific information regarding intraductal papillary mucinous neoplasm (IPMN) recurrence is limited because most series are small and the follow-up interval is short. We report an unusual case of cancer recurrence in an 86-year-old woman who had undergone a pancreaticoduodenectomy for a large IPMN in the head of the pancreas. Final pathological evaluation of the resected pancreas found a component of in situ and invasive ductal adenocarcinoma without lymph node involvement. The patient did not receive postoperative chemotherapy and was monitored with transaxial imaging at regular intervals. Nine years later, the patient developed a retroperitoneal psoas abscess that was misdiagnosed as tuberculous spondylitis (Pott disease) but was proven to be recurrent mucinous adenocarcinoma of pancreatic origin. In our review of published reports in patients who underwent resection of IPMN, we found a combined mean recurrence rate of approximately 20%.

References

Jul 1, 1991·Cancer·M YamadaY Tsukamoto
Jan 1, 1986·Gastroenterology·G ChejfecV E Gould
Mar 27, 2003·Pancreas·Matthew K TollefsonThomas C Smyrk
Jun 29, 2005·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Yohei MizutaShigeru Kohno
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·J Bendix HolmeA Kruse

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Citations

Oct 3, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andrew A GumbsBrice Gayet
Jul 29, 2011·Reumatología clinica·María Carmen Carrasco CuberoJosé Javier Pérez Venegas

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