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Title: Intraductal tubulopapillary neoplasm.
Austin Authors: Yu, Catherine;Lokan, Julie ;Jackett, Louise A ;Nikfarjam, Mehrdad ;Mills, Christopher
Affiliation: General Medicine
Pathology, Austin Health, Melbourne, Victoria, Australia.
Faculty of Medicine, Nursing and Health Sciences, Monash University, Churchill, Victoria, Australia.
Issue Date: 22-Dec-2022
Date: 2022
Publication information: BMJ Case Reports 2022; 15(12)
Abstract: A man aged above 70 years old with a medical history of ulcerative colitis presented with unintentional weight loss. A pancreatic mass associated with pancreatic duct dilatation was detected on imaging procedures. Initial investigations including fine needle aspiration and cytology examination were inconclusive. A diagnosis of intraductal tubulopapillary neoplasm (ITPN) was made with histopathology and immunohistochemistry examination on a surgically resected specimen. Two years after surgery, the patient remained well with no radiological evidence of recurrence.ITPN is a rare pancreatic duct tumour with limited case reports in medical literature. Risk factors are not well established. We report the first case of ITPN occurring in a patient with ulcerative colitis. A typical presentation of this rare tumour is reported to encourage clinicians to consider ITPN in the differential diagnoses of a pancreatic mass.
DOI: 10.1136/bcr-2021-246398
Journal: BMJ Case Reports
PubMed URL: 36549752
ISSN: 1757-790X
Type: Journal Article
Subjects: Gastroenterology
Pancreas and biliary tract
Carcinoma, Pancreatic Ductal/diagnostic imaging
Carcinoma, Pancreatic Ductal/surgery
Colitis, Ulcerative/pathology
Neoplasm Recurrence, Local/pathology
Pancreatic Neoplasms/pathology
Appears in Collections:Journal articles

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