Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Radiol. Oct 28, 2024; 16(10): 621-628
Published online Oct 28, 2024. doi: 10.4329/wjr.v16.i10.621
Cystic ductal adenocarcinoma of pancreas complicated with neuroendocrine tumor: A case report and review of literature
Dong-Mei Zou, Zeng-Yi Shu, Xu Cao
Dong-Mei Zou, Department of Ultrasound, The People's Hospital of Shifang, Deyang 618400, Sichuan Province, China
Zeng-Yi Shu, Department of Pathology, The People's Hospital of Shifang, Deyang 618400, Sichuan Province, China
Xu Cao, Department of Radiology, The People's Hospital of Shifang, Deyang 618400, Sichuan Province, China
Author contributions: Zou DM, Shu ZY, and Cao X contributed equally to this work; all authors have read and approve the final manuscript.
Informed consent statement: Patient in this case report provided informed written consent.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xu Cao, MS, Doctor, Department of Radiology, The People's Hospital of Shifang, No. 6 Ankang Road, Shifang City, Deyang 618400, Sichuan Province, China. cx18728077381@163.com
Received: July 18, 2024
Revised: September 3, 2024
Accepted: September 11, 2024
Published online: October 28, 2024
Processing time: 102 Days and 4.5 Hours
Abstract
BACKGROUND

Difficulties in making an accurate preoperative diagnosis of cystic pancreatic lesions pose a challenge for radiologists. It would be helpful to report rare cases and review the literature.

CASE SUMMARY

In the present report, a case of a patient with a pancreatic cystic lesion initially misdiagnosed as a pseudocyst by radiologist was documented, which was later pathologically confirmed as pancreatic ductal adenocarcinoma with neuroendocrine tumor. However, subsequent literature review yielded no previous reports of pancreatic ductal adenocarcinoma with neuroendocrine tumors and cystic lesions. Therefore, literature on the imaging diagnosis of pancreatic cystic lesions was instead reviewed and discussed.

CONCLUSION

Careful evaluation of the characteristics revealed by multimodal imaging techniques, medical history, laboratory examination data and follow-up observations, is critical to the diagnosis and treatment of pancreatic cystic disease. We provide valuable insights into the diagnosis of pancreatic cystic disease through a rare case report and literature review.

Keywords: Pancreas; Ductal adenocarcinoma; Cystic; Neuroendocrine tumor; Case report

Core Tip: A case of cystic pancreatic ductal adenocarcinoma with neuroendocrine involvement that was initially misdiagnosed as a pseudocyst was reported. The lack of specific symptoms and distinctive radiological features poses challenges in the preoperative diagnosis of pancreatic cystic lesions, particularly in differentiating between atypical and rare lesions.