CASE REPORT   

Il Giornale Italiano di Radiologia Medica 2018 Novembre-Dicembre;5(6):747-51

DOI: 10.23736/S2283-8376.18.00125-0

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Multidetector computed tomography imaging of synchronous multifocal ductal pancreatic adenocarcinomas: a case report and a review of the current literature

Nicola TARALLO ¹, Chiara TAGLIAFERRI ¹ ✉, Rossella P. GRAZIANI ¹, Valeria MOLINELLI ¹, Giorgia OTTINI ², Eugenio COCOZZA ³, Carlo FUGAZZOLA ¹

¹ Sezione di Radiologia, Dipartimento di Diagnostica per Immagini, Università dell’Insubria, Varese, Italia; ² Sezione di Anatomia e Istologia Patologica, Università dell’Insubria, Varese, Italia; ³ Sezione di Chirurgia Generale Oncologica e Mininvasiva, Dipartimento di Chirurgia Generale, Università dell’Insubria, Varese, Italia

Multifocal pancreatic tumors are rare (about 5%) and frequently associated with hereditary conditions, intraductal papillary mucinous neoplasm, pancreatic intraepithelial neoplasia and chronic pancreatitis. We describe a case of two synchronous invasive ductal pancreatic adenocarcinomas, located in the head and in the tail of the gland, detected by multidetector computed tomography. Total pancreaticoduodenectomy and splenectomy were performed. At histopathological examination the pancreatic tissue between the two lesions was normal, without inflammatory or preneoplastic changes.

KEY WORDS: Pancreas - Neoplasms - Multidetector computed tomography - Adenocarcinoma - Pancreatic ducts