Pancreatic ductal adenocarcinoma in colonic wall: metastatic disease or cancerized pancreatic ectopic tissue?

Abstract We describe two unusual cases of cancerized ectopic pancreatic parenchyma within the wall of the left colon. Although the morphology of the neoplastic cells and their immunoprofile were consistent with pancreatic ductal adenocarcinoma, the detection of small foci of regular ectopic pancreat...

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Main Authors: Graziana Gallo, Alessandro Mangogna, Gianrocco Manco, Stefania Caramaschi, Tiziana Salviato
Format: Article
Language:English
Published: SpringerOpen 2020-04-01
Series:Surgical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40792-020-00846-5
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author Graziana Gallo
Alessandro Mangogna
Gianrocco Manco
Stefania Caramaschi
Tiziana Salviato
author_facet Graziana Gallo
Alessandro Mangogna
Gianrocco Manco
Stefania Caramaschi
Tiziana Salviato
author_sort Graziana Gallo
collection DOAJ
description Abstract We describe two unusual cases of cancerized ectopic pancreatic parenchyma within the wall of the left colon. Although the morphology of the neoplastic cells and their immunoprofile were consistent with pancreatic ductal adenocarcinoma, the detection of small foci of regular ectopic pancreatic tissue close to dysplastic glands at the periphery of the cancerized mass represented the key diagnostic features. A careful histological examination of surgical samples represents the correct approach to the diagnosis of this rare disease, mostly when total-body CT scan evaluation confirms the lack of bilio-pancreatic masses.
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spelling doaj.art-1bfc092db0f1486c83019d31c812b2f52022-12-22T03:16:24ZengSpringerOpenSurgical Case Reports2198-77932020-04-01611310.1186/s40792-020-00846-5Pancreatic ductal adenocarcinoma in colonic wall: metastatic disease or cancerized pancreatic ectopic tissue?Graziana Gallo0Alessandro Mangogna1Gianrocco Manco2Stefania Caramaschi3Tiziana Salviato4Department of Diagnostic, Clinic and Public Health Medicine, University of Modena and Reggio EmiliaDepartment of Medical, Surgical and Health Science, University of Trieste, Cattinara HospitalDepartment of Surgery, University of ModenaDepartment of Diagnostic, Clinic and Public Health Medicine, University of Modena and Reggio EmiliaDepartment of Diagnostic, Clinic and Public Health Medicine, University of Modena and Reggio EmiliaAbstract We describe two unusual cases of cancerized ectopic pancreatic parenchyma within the wall of the left colon. Although the morphology of the neoplastic cells and their immunoprofile were consistent with pancreatic ductal adenocarcinoma, the detection of small foci of regular ectopic pancreatic tissue close to dysplastic glands at the periphery of the cancerized mass represented the key diagnostic features. A careful histological examination of surgical samples represents the correct approach to the diagnosis of this rare disease, mostly when total-body CT scan evaluation confirms the lack of bilio-pancreatic masses.http://link.springer.com/article/10.1186/s40792-020-00846-5Ectopic pancreasColonAdenocarcinoma
spellingShingle Graziana Gallo
Alessandro Mangogna
Gianrocco Manco
Stefania Caramaschi
Tiziana Salviato
Pancreatic ductal adenocarcinoma in colonic wall: metastatic disease or cancerized pancreatic ectopic tissue?
Surgical Case Reports
Ectopic pancreas
Colon
Adenocarcinoma
title Pancreatic ductal adenocarcinoma in colonic wall: metastatic disease or cancerized pancreatic ectopic tissue?
title_full Pancreatic ductal adenocarcinoma in colonic wall: metastatic disease or cancerized pancreatic ectopic tissue?
title_fullStr Pancreatic ductal adenocarcinoma in colonic wall: metastatic disease or cancerized pancreatic ectopic tissue?
title_full_unstemmed Pancreatic ductal adenocarcinoma in colonic wall: metastatic disease or cancerized pancreatic ectopic tissue?
title_short Pancreatic ductal adenocarcinoma in colonic wall: metastatic disease or cancerized pancreatic ectopic tissue?
title_sort pancreatic ductal adenocarcinoma in colonic wall metastatic disease or cancerized pancreatic ectopic tissue
topic Ectopic pancreas
Colon
Adenocarcinoma
url http://link.springer.com/article/10.1186/s40792-020-00846-5
work_keys_str_mv AT grazianagallo pancreaticductaladenocarcinomaincolonicwallmetastaticdiseaseorcancerizedpancreaticectopictissue
AT alessandromangogna pancreaticductaladenocarcinomaincolonicwallmetastaticdiseaseorcancerizedpancreaticectopictissue
AT gianroccomanco pancreaticductaladenocarcinomaincolonicwallmetastaticdiseaseorcancerizedpancreaticectopictissue
AT stefaniacaramaschi pancreaticductaladenocarcinomaincolonicwallmetastaticdiseaseorcancerizedpancreaticectopictissue
AT tizianasalviato pancreaticductaladenocarcinomaincolonicwallmetastaticdiseaseorcancerizedpancreaticectopictissue