Recurrent invasive intraductal papillary mucinous carcinoma of the pancreas mimicking Pott disease: Review of the literature Journal Article


Authors: Corvera, C. U.; Dunnican, W. J.; Blumgart, L. H.; D'Angelica, M.
Article Title: Recurrent invasive intraductal papillary mucinous carcinoma of the pancreas mimicking Pott disease: Review of the literature
Abstract: Specific information regarding intraductal papillary mucinous neoplasm (IPMN) recurrence is limited because most series are small and the follow-up interval is short. We report an unusual case of cancer recurrence in an 86-year-old woman who had undergone a pancreaticoduodenectomy for a large IPMN in the head of the pancreas. Final pathological evaluation of the resected pancreas found a component of in situ and invasive ductal adenocarcinoma without lymph node involvement. The patient did not receive postoperative chemotherapy and was monitored with transaxial imaging at regular intervals. Nine years later, the patient developed a retroperitoneal psoas abscess that was misdiagnosed as tuberculous spondylitis (Pott disease) but was proven to be recurrent mucinous adenocarcinoma of pancreatic origin. In our review of published reports in patients who underwent resection of IPMN, we found a combined mean recurrence rate of approximately 20%. Copyright © Lippincott Williams & Wilkins.
Keywords: aged; aged, 80 and over; survival rate; histopathology; review; cancer recurrence; case report; pancreatic neoplasms; recurrent cancer; follow up; neoplasm; pancreaticoduodenectomy; adenocarcinoma; neoplasm recurrence, local; intraductal papillary mucinous tumor; adenocarcinoma, mucinous; carcinoma, pancreatic ductal; carcinoma, papillary; pathology; pancreas carcinoma; tumor recurrence; pancreas tumor; carcinoma; invasive carcinoma; papillary carcinoma; colloid carcinoma; intraductal papillary mucinous neoplasm; invasiveness; ipmn; pott disease; tuberculous spondylitis; tuberculosis, spinal
Journal Title: Pancreas
Volume: 32
Issue: 3
ISSN: 0885-3177
Publisher: Lippincott Williams & Wilkins  
Date Published: 2006-04-01
Start Page: 321
End Page: 324
Language: English
DOI: 10.1097/01.mpa.0000203957.86135.2e
PUBMED: 16628089
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 4" - "Export Date: 4 June 2012" - "CODEN: PANCE" - "Source: Scopus"
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  1. Leslie H Blumgart
    352 Blumgart