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Endoscopy 2002; 34(12): 1014-1017
DOI: 10.1055/s-2002-35836
Case Report

© Georg Thieme Verlag Stuttgart · New York

Adenocarcinoma Arising from an Ectopic Pancreas in the Stomach

H.  Y.  Jeong 1 , H.  W.  Yang 1 , S.  W.  Seo 1 , J.  K.  Seong 1 , B.  K.  Na 1 , B.  S.  Lee 1 , G.  S.  Song 2 , H.  S.  Park 1 , H.  Y.  Lee 1
  • 1Department of Internal Medicine, Division of Gastrointestinology, Chung Nam National University, Jung Gu, Korea
  • 2Department of Pathology, Division of Gastrointestinology, Chung Nam National University, Jung Gu, Korea
Further Information

Publication History

Submitted: 24 February 2002

Accepted after Revision: 29 May 2002

Publication Date:
02 December 2002 (online)

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Ectopic pancreas is rare, being found in between 0.6 % and 15 % at autopsy. Heterotopic pancreas is usually an asymptomatic condition which is found incidentally at surgery or at autopsy. Occasionally, significant symptoms arise from complications, such as recurrent upper gastrointestinal bleeding, biliary or intestinal obstruction, or malignant degeneration. Malignant change is very rare. We report a case of malignant change (adenocarcinoma) in an ectopic pancreas in the stomach. In the literature, there are eight reported cases of malignant change in ectopic gastric pancreas. The prognosis in the other reported cases is unknown, but in our patient, the tumor was confined to the muscle of the stomach and there was no lymph node invasion.

References

  • 1 Tadataka Y, David H A. et al .Textbook of Gastroenterology. In: Rodter AL (ed) Congenital and hereditary diseases of the pancreas. Stuttgart; Thieme 1991: 1940
    Google Scholar
  • 2 Beger H G, Warshaw A L, Büchler M W. et al .The pancreas. In: John ES, Lee JS, Gene LC (eds) Congenital anomalies and variations of the pancreas and pancreatic and extrahepatic bile duct. Stuttgart; Thieme 1998: 28-30
    Google Scholar
  • 3 Kim J L. Disease of Digestive System. In: Kim WH (ed) Gastric polyp. Stuttgart; Thieme 2000: 209-210
    Google Scholar
  • 4 Guillou L, Nordback P, Gerber C. et al . Ductal adenocarcinoma arising in a heterotopic pancreas situated in a hiatal hernia.  Arch Pathol Lab Med. 1994;  118 568
    PubMedGoogle Scholar
  • 5 Hideki U, Ryuichi D, Koichi H. et al . Carcinoma arising from ectopic pancreas in the stomach. Endosonographic detection of malignant change.  J Clin Ultrasound. 1998;  26 265-268
    CrossrefPubMedGoogle Scholar
  • 6 Goldfarb W B, Benett D, Monafo W. Carcinoma in heterotopic gastric pancreas.  Ann Surg. 1963;  158 56
    PubMedGoogle Scholar
  • 7 Tanimura A, Yamamoto A, Shibata H. et al . Carcinoma in heterotopic gastric pancreas.  Acta Pathol Jpn. 1979;  29 251
    PubMedGoogle Scholar
  • 8 Hickman D M, Frey C F, Carson J W. Adenocarcinoma arising in heterotopic gastric pancreas.  West J Med. 1981;  135 57
    PubMedGoogle Scholar
  • 9 Jeng K S, Yang K C, Kuo S H. Malignant degeneration of heterotopic pancreas.  Gastrointest Endosc. 1991;  37 196
    PubMedGoogle Scholar
  • 10 Herold G, Kraft K. Adenocarcinoma arising from ectopic pancreas: two case reports with a review of the literature.  Z Gastroenterol. 1995;  33 260
    PubMedGoogle Scholar

H. Y. Jeong, M.D.

Department of Internal Medicine · Chung Nam University

Dae Sa Dong 640 · Dae Jeon City · Jung Gu · Korea

Fax: + 82-42-254-4553

Email: jeonghy@cnuh.co.kr

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