A case of intraductal papillary mucinous tumor of pancreas associated with liver metastasis / 대한내과학회지

ABSTRACT

Intraductal papillary mucinous tumor has been reported with increasing frequency these days. It can be malignant (adenocarcinoma) or premalignant (adenoma). This tumor, even when malignant, is often resectable and has a favorable prognosis as compared with pancreatic ductal adenocarcinoma. We report a case of intraductal papillary mucinous tumor with liver metastasis in a 63-year-old male patient. He presented with recurrent epigastric pain, which had developed 3 months ago. Abdominal computed tomography showed the diffusely dilated pancreatic duct, 3 cm-sized low-attenuated mass in the body and multiple liver metastasis. During endoscopic retrograde pancreatography, patulous orifice of papilla, mucin secretion and diffusely dilatedpancreatic duct were noted. Cytologic examination during ERCP revealed mucinous material with atypical columnar cells. Metastatic adenocarcinoma was confirmed by sono-guided liver biopsy. Only supportive care has been done and he died at 3 months after the diagnosis.