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©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Mar 14, 2007; 13(10): 1622-1625
Published online Mar 14, 2007. doi: 10.3748/wjg.v13.i10.1622
Published online Mar 14, 2007. doi: 10.3748/wjg.v13.i10.1622
Intraductal papillary mucinous carcinoma with atypical manifestations: Report of two cases
Seung Eun Lee, Jin-Young Jang, Sung Hoon Yang, Sun-Whe Kim, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
Author contributions: All authors contributed equally to the work.
Supported by the funds from researching and developing business for overcoming cancer, No. 07-2005-038-0
Correspondence to: Sun-Whe Kim, MD, PhD, Department of Surgery, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul, Korea. sunkim@plaza.snu.ac.kr
Telephone: +82-2-20722315 Fax: +82-2-7452282
Received: November 21, 2006
Revised: December 20, 2006
Accepted: March 13, 2007
Published online: March 14, 2007
Revised: December 20, 2006
Accepted: March 13, 2007
Published online: March 14, 2007
Abstract
Intraductal papillary mucinous neoplasms (IPMNs) are a well-characterized group of mucin-producing cystic neoplasms of the clear malignant potential type. We report here two cases of intraductal papillary mucinous carcinoma (IPMC) with atypical manifestations. In one case, we discussed a pseudomyxoma peritonei caused by a ruptured IPMC. In the other case we discussed the fistulization of IPMC into the stomach and duodenum. These two cases suggest that IPMN can either spontaneously rupture causing mucinous materials to spill into the free abdominal cavity or directly invade adjacent organs resulting in fistula development.
Keywords: Intraductal papillary mucinous neoplasm; Intraductal papillary mucinous carcinoma; Pseudomyxoma peritonei; Fistula