Intraductal papillary mucinous neoplasm in chronic calcifying pancreatitis: Egg or hen?

被引：16

作者：

Kalaitzakis, Evangelos ^{[1
,2
]}

Braden, Barbara ^{[2
]}

Trivedi, Palak ^{[2
]}

Sharifi, Yalcla ^{[2
]}

Chapman, Roger ^{[2
]}

机构：

[1] Sahlgrens Univ Hosp, Dept Internal Med, Sect Gastroenterol & Hepatol, S-41345 Gothenburg, Sweden

[2] John Radcliffe Hosp, Dept Gastroenterol, Oxford OX3 9DU, England

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2009年 / 15卷 / 10期

关键词：

Intraductal papillary mucinous neoplasm; Endoscopic ultrasound; Calcifying pancreatitis; Carcinoembryonic antigen; Endoscopic retrograde cholangiopancreatography; CLINICOPATHOLOGICAL FEATURES; DIFFERENTIAL-DIAGNOSIS; LESIONS; TUMORS;

D O I：

10.3748/wjg.15.1273

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Intraductal papillary mucinous neoplasm (IPMN) is an increasingly reported entity. Extensive pancreatic calcification is generally thought to be a sign of chronic pancreatitis, but it may occur simultaneously with IPMN leading to diagnostic difficulties. We report a case of a patient initially diagnosed with chronic calcifying pancreatitis who was later shown to have a malignant IPMN. This case illustrates potential pitfalls in the diagnosis of IPMN in the case of extensive pancreatic calcification as well as clues that may lead the clinician to suspecting the diagnosis. The possible mechanisms of the relation between pancreatic calcification and IPMN are also reviewed. (c) 2009 The WJG Press and Baishideng. All rights reserved.

引用

页码：1273 / 1275

页数：3

共 9 条

[1] Intraductal papillary mucinous neoplasms and other pancreatic lesions [J].

Freeman, Hugh James .

WORLD JOURNAL OF GASTROENTEROLOGY, 2008, 14 (19) :2977-2979

[2] Clinicopathological features of malignant intraductal papillary mucinous tumors of the pancreas - The differential diagnosis from benign entities [J].

Kawai, M ;

Uchiyama, K ;

Tani, M ;

Onishi, H ;

Kinoshita, H ;

Ueno, M ;

Hama, T ;

Yamaue, H .

ARCHIVES OF SURGERY, 2004, 139 (02) :188-192

[3] Intraductal papillary-mucinous tumors of the pancreas: Clinicopathologic features, outcome, and nomenclature [J].

Loftus, EV ;

OlivaresPakzad, BA ;

Batts, KP ;

Adkins, MC ;

Stephens, DH ;

Sarr, MG ;

Dimagno, EP .

GASTROENTEROLOGY, 1996, 110 (06) :1909-1918

[4] Intraductal papillary mucinous neoplasm of the pancreas: Assessment of the likelihood of invasiveness with multisection CT [J].

Ogawa, Hiroshi ;

Itoh, Shigeki ;

Ikeda, Mitsuru ;

Suzuki, Kojiro ;

Naganawa, Shinji .

RADIOLOGY, 2008, 248 (03) :876-886

[5] Pancreatic mucin-producing adenocarcinoma associated with a pancreatic stone: Report of a case [J].

Origuchi, N ;

Kimura, W ;

Muto, T ;

Esaki, Y .

SURGERY TODAY, 1998, 28 (12) :1261-1265

[6] Role of endoscopic ultrasound in the diagnosis of intraductal papillary mucinous neoplasms: Correlation with surgical histopathology [J].

Pais, Shireen A. ;

Attasaranya, Siriboon ;

Leblanc, Julia K. ;

Sherman, Stuart ;

Schmidt, C. Max ;

DeWitt, John .

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2007, 5 (04) :489-495

[7] Intraductal papillary mucinous neoplasms and chronic pancreatitis [J].

Talamini, Giorgio ;

Zamboni, Giuseppe ;

Salvia, Roberto ;

Capelli, Paola ;

Sartori, Nora ;

Casetti, Luca ;

Bovo, Paolo ;

Vaona, Bruna ;

Falconi, Massimo ;

Bassi, Claudio ;

Scarpa, Aldo ;

Vantini, Italo ;

Pederzoli, Paolo .

PANCREATOLOGY, 2006, 6 (06) :626-634

[8] Cyst fluid analysis in the differential diagnosis of pancreatic cystic lesions: a pooled analysis [J].

van der Waaij, LA ;

van Dullemen, HM ;

Porte, RJ .

GASTROINTESTINAL ENDOSCOPY, 2005, 62 (03) :383-389

[9] Calcifying Obstructive Pancreatitis: A Study of Intraductal Papillary Mucinous Neoplasm Associated With Pancreatic Calcification [J].

Zapiach, Mauricio ;

Yadav, Dhiraj ;

Smyrk, Thomas C. ;

Fletcher, Joel G. ;

Pearson, Randall K. ;

Clain, Jonathan E. ;

Farnell, Michael B. ;

Chari, Suresh T. .

CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2004, 2 (01) :57-63

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