Pancreatic Neuroendocrine Neoplasm Invading the Entire Main Pancreatic Duct Diagnosed by a Preoperative Endoscopic Biopsy

  • Kimura Tomoya
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
  • Sugimoto Mitsuru
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
  • Takagi Tadayuki
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
  • Suzuki Rei
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
  • Konno Naoki
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
  • Asama Hiroyuki
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
  • Sato Yuki
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
  • Irie Hiroki
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
  • Nakamura Jun
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan Department of Endoscopy, Fukushima Medical University Hospital, Japan
  • Takasumi Mika
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
  • Hashimoto Minami
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan Department of Endoscopy, Fukushima Medical University Hospital, Japan
  • Kato Tsunetaka
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan
  • Kofunato Yasuhide
    Department of Hepato-Biliary-Pancreatic and Transplant Surgery, School of Medicine, Fukushima Medical University, Japan
  • Kimura Takashi
    Department of Hepato-Biliary-Pancreatic and Transplant Surgery, School of Medicine, Fukushima Medical University, Japan
  • Yamada Shoki
    Department of Diagnostic Pathology, School of Medicine, Fukushima Medical University, Japan
  • Hashimoto Yuko
    Department of Diagnostic Pathology, School of Medicine, Fukushima Medical University, Japan
  • Marubashi Shigeru
    Department of Hepato-Biliary-Pancreatic and Transplant Surgery, School of Medicine, Fukushima Medical University, Japan
  • Hikichi Takuto
    Department of Endoscopy, Fukushima Medical University Hospital, Japan
  • Ohira Hiromasa
    Department of Gastroenterology, School of Medicine, Fukushima Medical University, Japan

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Description

<p>A 78-year-old man was referred to our hospital for a detailed examination of a pancreatic tumor that filled the main pancreatic duct (MPD). The histological diagnosis of the endoscopic biopsy specimen was neuroendocrine tumor (NET) G3. The patient subsequently underwent total pancreatectomy. The histological diagnosis of the surgical specimen was also NET G3. This is the first report of a NET that occupied the MPD and was diagnosed by a preoperative endoscopic biopsy through the papilla of Vater. This case is a good example of a histopathological diagnostic method for pancreatic tumors invading the entire MPD. </p>

Journal

  • Internal Medicine

    Internal Medicine 59 (16), 1991-1996, 2020-08-15

    The Japanese Society of Internal Medicine

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