Case | Ref. | Age | M/F | Symptom | AP (Y/N) | CT imaging | MPD dilatation | Diagnosis according to imaging | Histological examination | Preoperative diagnosis |
---|---|---|---|---|---|---|---|---|---|---|
1 | 4 | 55 | F | Upper abdominal pain | N | Multilobular cyst in 50 mm, no nodule | None | BD-IPMN | None | BD-IPMN |
2 | 3 | 75 | M | None | N | Hypovasucular SOL in 12 mm | None | NET, ACC, SCN, PDAC Metastatic tumor | EUS-FNA (s/o ACC) | ACC |
3 | 5 | 48 | M | Abdominal pain | N | Hypovasucular SOL in 20 mm | N.A | SPN, IPMN, NET (cystic) | EUS-FNA: papillary epithelial neoplasm in cyst fluid | Papillary epithelial neoplasm |
4 | 6 | 41 | F | None | N | Multilobular cyst in 25 mm, no nodule | N.A | BD-IPMN | EUS-FNA: marked epitherial atypia in fluid | Marked epitherial atypia |
5 | Our case | 85 | M | None | N | Hypervasucular SOL in 20 mm | Slight | BD-IPMN | Cytology using pancreatic fluid in ERP: no malignancy | BD-IPMN |
Case | Operation | Localization | Tumor size as nodule (mm) | Invasion | LNM | Distinct metastasis | Immunohistochemical findings | Prognosis | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
MUC1 | MUC2 | MUC5AC | MUC6 | Ki67 (%) | ||||||||
1 | PD | Head | No nodule | None | None | None | ● | × | × | ● | 1 | Survival with no recurrence for 34 month |
2 | DP | Head | 12 | None | None | None | ● | N.A | × | ● | N.A | N.A |
3 | DP | Body–tail | 13 | None | None | None | ● | N.A | × | N.A | N.A | N.A |
4 | PD | Head | No nodule | None | None | None | ● | × | N.A | N.A | 5 | N.A |
5 | PD | Head | 24 | Minimally stromal invasion | None | None | ● | × | × | × | 3.98 | Survival with no recurrence for 48 month |