Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Mar 16, 2023; 15(3): 191-194
Published online Mar 16, 2023. doi: 10.4253/wjge.v15.i3.191
Colonic ductal adenocarcinoma case report: New entity or rare ectopic degeneration?
Clara Benedetta Conti, Giacomo Mulinacci, Nicolò Tamini, Marta Jaconi, Nicola Zucchini
Clara Benedetta Conti, Giacomo Mulinacci, Interventional Endoscopy, ASST Monza, Ospedale San Gerardo, Monza 20900, Italy
Nicolò Tamini, Department of Surgery, ASST Monza, Ospedale San Gerardo, Monza 20900, Italy
Marta Jaconi, Nicola Zucchini, Department of Pathology, ASST Monza, Ospedale San Gerardo, Monza 20900, Italy
Author contributions: Conti CB and Zucchini N designed and directed the project; Conti CB and Mulinacci G wrote the first draft of the manuscript with support of Tamini N and Jaconi M; Zucchini N and Jaconi M performed the histological analysis; Zucchini N. supervised the study and reviewed for important intellectual contents. All authors approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Clara Benedetta Conti, Doctor, Interventional Endoscopy, ASST Monza, Ospedale San Gerardo, 33 Via G.B. Pergolesi, Monza 20900, Italy. benedetta.conti1@gmail.com
Received: December 22, 2022
Peer-review started: December 22, 2022
First decision: January 3, 2023
Revised: January 9, 2023
Accepted: February 8, 2023
Article in press: February 8, 2023
Published online: March 16, 2023
Core Tip

Core Tip: Ectopic pancreatic tissue is a congenital anomaly. Currently, only two anecdotal cases of malignant transformation of colonic ectopic pancreatic tissue have been described. We present a case of an 81-year-old patient with a primitive adenocarcinoma of the right colon, with ductal morphology and solid-predominant growth pattern. Carbohydrate antigen 19-9 value was above the normal values, and both pancreas and biliary tree were healthy. Benign ectopic pancreatic tissue was missing in the surgical specimen. This observation is suggestive of a complete degeneration of a rare colonic ectopic pancreatic tissue or, even more interesting, the first description of a primitive ductal adenocarcinoma of the colon.