[A case of jejunal ectopic pancreatic cancer: the diagnostic usefulness of MRI]

Nihon Shokakibyo Gakkai Zasshi. 2015 Jan;112(1):70-7. doi: 10.11405/nisshoshi.112.70.
[Article in Japanese]

Abstract

A 70-year-old man was referred to our hospital because of elevated CA19-9. Magnetic resonance imaging revealed a jejunal tumor having duct and retention cyst-like structures, which suggested ectopic pancreatic cancer. We resected that part of the jejunum and the lymph nodes around the tumor. Pathological examination revealed an adenocarcinoma originating from a Heinrich type I ectopic pancreas in the jejunum. Adjuvant chemotherapy with gemcitabine was performed for half a year. After 8 months, CA19-9 remained elevated, and liver metastasis occurred. We began treatment with tegafur/gimeracil/oteracil potassium (S-1) and particle beam therapy. After 7 months, CA19-9 was normal, and the patient has remained in partial remission with S-1 treatment. Ectopic pancreas tissues typically occur in the stomach and duodenum and rarely become cancerous. Here, we report the features of a rare and illustrative case of jejunal ectopic pancreatic cancer.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • CA-19-9 Antigen / blood
  • Combined Modality Therapy
  • Humans
  • Jejunal Neoplasms / blood
  • Jejunal Neoplasms / diagnosis*
  • Jejunal Neoplasms / therapy
  • Liver Neoplasms / drug therapy
  • Liver Neoplasms / radiotherapy
  • Liver Neoplasms / secondary
  • Magnetic Resonance Imaging
  • Male
  • Multimodal Imaging
  • Pancreatic Neoplasms / blood
  • Pancreatic Neoplasms / diagnosis*
  • Pancreatic Neoplasms / therapy
  • Recurrence

Substances

  • CA-19-9 Antigen