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  • Title: Intraductal papillary mucinous tumor of the pancreas in a young man: report of a case.
    Author: Tokoro T, Orti LS, Ookochi O, Taniguchi K, Hirai T, Yamashita K, Inoue S, Takeda S, Kaneko T, Nakao A.
    Journal: Surg Today; 2003; 33(2):138-41. PubMed ID: 12616379.
    Abstract:
    We report the rare case of an intraductal papillary mucinous tumor (IPMT) in a man younger than 30 years of age. The patient was admitted with upper abdominal pain and an elevated amylase level of 662 IU/l. Ultrasonography showed a cystic mass in the pancreatic body and endoscopic retrograde cholangiopancreatography (ERCP) revealed a dilated pancreatic duct with a filling defect communicating with the tumor. He was successfully treated by segmental resection, which seems to be the best surgical option for pancreatic body tumors since it results in long-term survival and preserves as much pancreatic parenchyma as possible. Nevertheless, it can only be done in the absence of additional nodules along the pancreatic duct. A pathological diagnosis of intraductal papillary adenocarcinoma of the noninvasive type was confirmed, and both stumps were free of tumor.
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