Intraductal Papillary Mucinous Neoplasm of Pancreas An Incidental Finding- A Case Report.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
Background :Intraductal papillary mucinous neoplasms of pancreas are cystic lesions which are premalignant and characterised by cystic dilatation of pancreatic ducts.Most of the cases are asymptomatic and found incidentally. . Intraductal papillary mucinous neoplasms currently accounts for 20-50% of all cystic pancreatic lesions.It is important to distinguish this lesion from mucinous adenocarcinoma of pancreas as IPMNs has excellent prognosis than the latter.We present a case report of intraductal papillary mucinous neoplasm found incidentally. CaseReport:70 year old male presented with difficulty in breathing for 3 months which was post traumatic. MRI abdomen revealed pancreatico-pleural fistula extending from tail of pancreas to pleural space through defect in dome of diaphragm. Subsequently distal pancreatectomy with splenectomy was done. Histopathological examination revealed an intraductal papillary mucinous neoplasm –foveolar subtype which was confirmed by immunohistochemistry. Conclusion:Intraductal papillary mucinous neoplasms are cystic tumors of the pancreas that are diagnosed increasingly often. It is a diagnosable precursor of pancreatic cancer especially in symptomatic intraductal papillary mucinous neoplasm.
Authors and Affiliations
Dr. A. Keerthy Aberna, Dr. A. P. Rajesh Nataraj
Keywords
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- EP ID EP576785
- DOI 10.9790/0853-1701073339.
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