Carcinoma arising from ectopic pancreas in the stomach: Endosonographic detection of malignant change

Ura, Hideki; Denno, Ryuichi; Hirata, Koichi; Saeki, Akiko; Hirata, Ken‐ichi; Natori, Hiroshi

doi:10.1002/(sici)1097-0096(199806)26:5<265::aid-jcu7>3.0.co;2-a

Cited by 57 publications

(26 citation statements)

References 11 publications

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“…An ectopic pancreas a b may be subjected to all of the pathologic processes that can occur in the main pancreas, such as inflammation, malignant transformation, cystic degeneration, and abnormal hormonal production. [5][6][7] According to our review of the literature, symptoms were attributable to pancreatic disease in some patients, while in others a strong causal relationship of symptoms to the presence of an ectopic pancreas was difficult to establish as they were consistent with gastric ulcer, duodenal ulcer, pyloric obstruction, cholecystitis, common bile duct obstruction, chronic or acute appendicitis, or indeterminate digestive symptoms. Because the majority of pancreatic heterotopies are symptomatic, operative removal of the lesion for the relief of symptoms rather than for diagnosis or prophylaxis is generally acceptable to the patient, physician, and surgeon, as surgery leads to rapid recovery and a symptom-free postconvalescent lifestyle.…”

Section: Discussionmentioning

confidence: 99%

Duodenal Pancreatic Heterotopy Diagnosed by Magnetic Resonance Cholangiopancreatography: Report of a Case

et al. 2001

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We describe herein the case of a heterotopic pancreas that caused stenosis in the second portion of the duodenum. A 46-year-old man presented with upper abdominal pain and a 12-month history of intermittent vomiting. There was no history of melena, hematochezia, hematemesis, clay-colored stools, jaundice, or hepatitis and he did not describe any food dyscrasias, although fatty foods and alcohol seemed to make the symptoms worse. No specific medication or change in position relieved the pain. An initial diagnosis of chronic pancreatitis with multiple pseudocysts was made on the basis of elevated serum amylase and lipase levels, and abdominal ultrasonography and computed tomography (CT) findings. Medical treatment with octreotide was given for 8 weeks, but without any marked effect. Double-contrast barium examination and esophagogastroduodenoscopy were not diagnostic. Magnetic resonance (MR) cholangiopancreatography revealed findings indicative of cystic dystrophy of a heterotopic pancreas (CDHP), and an endoscopy supported this diagnosis. A pancreatoduodenectomy was performed and pathological examination confirmed a diagnosis of CDHP. In our opinion, MR cholangiopancreatography is the diagnostic tool of choice when CDHP is suspected.

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Section: Discussionmentioning

confidence: 99%

Duodenal Pancreatic Heterotopy Diagnosed by Magnetic Resonance Cholangiopancreatography: Report of a Case

et al. 2001

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“…They postulated that size greater than 1.5 cm is more likely to be of clinical significance [8] . Other less common symptoms were bleeding mimicking jejunal tumor [9] , pancreatitis, and malignant transformation [10][11][12] . Macroscopically, the tissue often localized in the submucosa, but may also be found in the muscularis mucosa, subserously or in the serosa.…”

Section: Discussionmentioning

confidence: 99%

Gastric outlet obstruction caused by heterotopic pancreas: A case report and a quick review

Jiang¹,

Jie²,

Wang³

et al. 2008

WJG

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“…[4][5][6][7][8][9][10][11][12] The patients' ages ranged from 27 to 73 years (56 years, on average). The mean age was younger than that of patients with usual gastric cancer or pancreatic cancer.…”

Section: Discussionmentioning

confidence: 99%

Adenocarcinoma arising from aberrant pancreas in the stomach

Matsuki¹,

Gouda²,

Ando³

et al. 2005

J Gastroenterol

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We report herein a rare case of malignant transformation of aberrant pancreas in the stomach, associated with gastric outlet obstruction. A 58-year-old woman was admitted to our hospital, complaining of vomiting. Although barium meal examination and gastric endoscopy showed marked pyloric stenosis, the biopsy specimen obtained from the stenotic site revealed regenerative mucosa without malignancy. Abdominal computed tomography and endoscopic ultrasonography (EUS) also could not detect the cause of the obstruction. Histopathological examination of the surgically resected specimen showed the malignant transformation of aberrant pancreas in the stomach. It should be noted that one of the causes of gastric outlet obstruction may be aberrant pancreas or its malignant transformation.

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Carcinoma arising from ectopic pancreas in the stomach: Endosonographic detection of malignant change

Cited by 57 publications

References 11 publications

Duodenal Pancreatic Heterotopy Diagnosed by Magnetic Resonance Cholangiopancreatography: Report of a Case

Duodenal Pancreatic Heterotopy Diagnosed by Magnetic Resonance Cholangiopancreatography: Report of a Case

Gastric outlet obstruction caused by heterotopic pancreas: A case report and a quick review

Adenocarcinoma arising from aberrant pancreas in the stomach

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