Korean J Gastrointest Endosc.  2000 Mar;20(3):239-242.

A Case of a Solid and Papillary Epithelial Neoplasm of the Pancreas Associated with Malignant Change

Affiliations
  • 1Department of Internal Medicine, Kangbuk Samsung Hospital, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea.
  • 2Department of General Surgery, Kangbuk Samsung Hospital, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea.
  • 3Department of Pathology, Kangbuk Samsung Hospital, Samsung Medical Center, Sungkyunkwan University College of Medicine, Seoul, Korea.

Abstract

The solid and papillary epithelial neoplasm of the pancreas is a relatively uncommon disease. It accounts for approximately 1 to 2 percent of all exocrine pancreatic tumors. This benign or low grade malignant tumor is reported to occur predominantly in young women and rarely in men. Recurrence and development of metastasis after resection are found only in a small fraction of the general population. A case is herein reported involving a solid and papillary epithelial neoplasm of the pancreas which extensively spread to nearby organs, in a 34 year-old man. Chief complaints were black stool. Physical examination revealed tenderness on the left upper quadrant of the abdomen. Esophagogastroduodenoscopy revealed multiple cardiac variceal bleeding. Abdominal sonography and CAT scan findings showed a huge lobulated mass on the left upper quadrant area with an internal necrotic portion. Surgical findings showed determined a splenic vein tumor thromboembolus, portal vein involvement, distal stomach involvement, and multiple colonic invasion. Therefore, distal pancreatectomy, wedge resection of the stomach, splenetomy, segmental resection of the transverse colon, and excision of the mass were all performed. Pathologic examination revealed a solid and papillary epithelial neoplasm in the pancreatic tail with a marked dilated splenic vein filled with tumor thromboembolus. The patient has been under chemotherapy since then, and is being closely observed.

Keyword

Malignant Change; Solid and Papillary Epithelial Neoplasm

MeSH Terms

Abdomen
Adult
Animals
Cats
Colon
Colon, Transverse
Drug Therapy
Endoscopy, Digestive System
Esophageal and Gastric Varices
Female
Humans
Male
Neoplasm Metastasis
Neoplasms, Glandular and Epithelial*
Pancreas*
Pancreatectomy
Physical Examination
Portal Vein
Recurrence
Splenic Vein
Stomach
Full Text Links
  • KJGE
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr