Mucinous papillary carcinoma of the pancreas.A 63-year old woman with an intraduct papillary mucinous adenocarcinoma of
the pancreas. Twelve years earlier she had presented with obstructive
jaundice. At that time the diagnosis of malignancy could not be
established - even with multiple biopsies at open operation. At the first
operation, the patient underwent biliary bypass with a Roux loop and a
On this occasion she presented with chronic pain and a CT scan showed a
cystic mass in the head of the pancreas. She underwent a
This photograph shows the opened specimen with the tumour encircling the
ampulla. The histology of the resected lesion showed intraduct papillary
mucinous adenocarcinoma with an extensive colloid component. There was in
situ disease showing extensive involvement of pancreatic ducts as well as
the common bile duct. In situ disease extended up to the resection margins
of the both the common bile duct and the pancreatic duct. The surgical
margins were apparently free from invasive carcinoma. These uncommon
tumours are typically slow growing and a 12 year history is not unusual.
Download this image
PC users: right-click on the image and choose 'Save Picture/Image As' from the popup menu.
Mac users: click and hold down over the image and choose 'Save This Image As' from the popup menu.
Submit your images
Play a part in the GastroHep.com community by publishing your important images in the Slide Atlas. We're looking for high quality images in gastroenterology, hepatology or endoscopy.