Marked Distension of Main Pancreatic Duct by Intraductal Tubulopapillary Neoplasm Causing Global Pancreatic Atrophy

Intraductal tubulopapillary neoplasm is a rare primary pancreatic tumor that accounts for less than 1% of all pancreatic tumors and 3% of all intraductal pancreatic neoplasms. Reports on intraductal tubulopapillary neoplasm have been rare, and most have described it in the classic macroscopic presentation. We describe a unique case of intraductal tubulopapillary neoplasm wherein the pancreatic duct has completely expanded to fill the borders of the pancreas without any noticeable remaining parenchyma. Global pancreatic parenchymal atrophy has occurred in this patient due to the marked distension of the intraductal tubulopapillary neoplasm. The extent of intraductal expansion makes recognition of commonly observed radiological signs difficult, as there is no clear demarcation between intraductal tumor growth and dilated duct without tumor growth. As more is understood about intraductal tubulopapillary neoplasms, it will be important to be able to recognize the classic and unique radiological presentations in order to provide prompt diagnosis and treatment for these patients.


Joseph James Tseng, Christine Y Louie, Brooke R Jeffrey

Abstract | Full-Text | PDF

Share this  Facebook  Twitter  LinkedIn  Google+
30+ Million Readerbase
Recommended Conferences
Flyer image
Abstracted/Indexed in
  • Index Copernicus
  • Academic Journals Database
  • Genamics JournalSeek
  • Academic Keys
  • China National Knowledge Infrastructure (CNKI)
  • CiteFactor
  • Scimago
  • British Library
  • Electronic Journals Library
  • Directory of Research Journal Indexing (DRJI)
  • WorldCat
  • Emerging Sources Citation Index (ESCI)
  • EBSCO Host
  • MIAR
  • International Committee of Medical Journal Editors (ICMJE)
  • University of Zurich - UZH
  • University Grants Commission
  • SWB Online-Katalog
  • Scholarsteer
  • Geneva Foundation for Medical Education and Research
  • Secret Search Engine Labs