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2011 — July Case of the Month

Posted July 12, 2011

CLINICAL SUMMARY: Pancreas  

CAP Foundation July 2011 Online Case of the Month

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A 64-year-old man was noted to have icteric sclera but had no abdominal symptoms. CT scans revealed a pancreatic mass with both solid and cystic components. ERCP revealed dilatation of the distal pancreatic ductal system in the head of the pancreas. On gross examination, the main pancreatic duct was dilated, filled with mucin and contained papillary projections. A 2.5 cm tumor mass extended from one aspect of the duct into the pancreatic parenchyma.

The master list with the correct answer

  • Intraductal papillary mucinous carcinoma, non-invasive
  • Mucinous carcinoma arising in an intraductal papillary mucinous neoplasm
  • Mucinous cystic neoplasm
  • Pancreatic ductal adenocarcinoma, usual type
  • Serous microcystic adenoma

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  • Appropriate diagnosis
  • Critique
  • References


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