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Case Reports: Rare disease
Intraductal tubulopapillary neoplasm
  1. Catherine Yu1,
  2. Julie Lokan2,
  3. Louise Jackett2,
  4. Mehrdad Nikfarjam3 and
  5. Christopher Mills4
  1. 1General Medicine, Austin Health, Melbourne, Victoria, Australia
  2. 2Pathology, Austin Health, Melbourne, Victoria, Australia
  3. 3Hepatobiliary/Transplant Unit, Department of Surgery, Austin Hospital, Melbourne, Vicotira, Australia
  4. 4Faculty of Medicine, Nursing and Health Sciences, Monash University, Churchill, Victoria, Australia
  1. Correspondence to Dr Catherine Yu; catherine.yu{at}austin.org.au

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.

  • Pancreas and biliary tract
  • Gastroenterology

https://doi.org/10.1136/bcr-2021-246398

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    Footnotes

    • Contributors CY, JL, LJ, MN and CM have all contributed significantly to this case report, have all given final approval to the version published, and all agree to be accountable for the article and will ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved. Additionally, CY contributed to the conception and design, drafting and revision of the case report. JL contributed to the acquisition, analysis and interpretation of data, drafting and critical revision of the content. LJ contributed to the acquisition, analysis and interpretation of data, drafting and critical revision of the content. MN contributed to the conception, acquisition and analysis of data, drafting and critical revision of the content. CM contributed to the conception and design, drafting and critical revision of the content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.