Yamaguchi Medical Journal
Online ISSN : 1880-4462
Print ISSN : 0513-1731
ISSN-L : 0513-1731
Case Report
A Case of Mucinous Carcinoma of the Pancreas with Duodenal Invasion
Miyuki KAINOYohei HARIMATakanori TSUYAMAMaiko NISHITomoki HITOSUGIYohei URATAYohei NAKAMURASeiji KAINO
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2023 Volume 72 Issue 1 Pages 39-43

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Abstract

We report a case of mucinous carcinoma of the pancreas, a rare invasive carcinoma of the pancreas. A 69-year-old woman was admitted to our hospital due to a huge duodenal tumor. An esophagogastric duodenoscopy revealed a 10 cm tumor with surface irregularity and a high amount of mucus in the second and third portions of the duodenum. Contrast-enhanced ultrasonography(CE-US)and computed tomography(CT)showed the mass to be located in the pancreatic head, recognizable as enhanced parts of the edge and the septum. Moreover, CE-US revealed dendritic enhancement in the lesion. Magnetic resonance imaging(MRI)showed low-, high-, and relatively high-intensity masses on T1- and T2-weighted images and magnetic resonance cholangiopancreatography(MRCP).Positron emission tomography-CT showed high fluorodeoxyglucose integration in the part of the tumor. As no metastatic lesion could be detected, a pylorus-preserving pancreaticoduodenectomy was performed. A final pathological diagnosis of mucinous carcinoma was made. CE-US, MRI, and MRCP may be useful for the diagnosis of mucinous carcinoma of the pancreas.

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© 2023 by Yamaguchi University Medical Association
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