Digestive Diseases and Sciences

, Volume 56, Issue 5, pp 1295–1298 | Cite as

Colloid Carcinoma of the Pancreas

  • Timothy A. Plerhoples
  • Michael Ahdoot
  • Michael A. DiMaio
  • Reetesh K. Pai
  • Walter G. Park
  • George A. Poultsides
Stanford Multidisciplinary Seminars

Case Presentation and Evolution

A 70-year-old male presented with a several-month history of steatorrhea and a 50-pound weight loss. He denied abdominal, flank, or back pain. His past medical history was notable for type 2 diabetes mellitus, hyperlipidemia, and coronary artery disease. His past surgical history was unremarkable. He denied any alcohol use and had no history of pancreatitis. Work-up prior to presentation included a negative colonoscopy, and a computed tomography (CT) scan of the abdomen showed a diffusely enlarged pancreas with a markedly dilated main pancreatic duct. The gland was essentially replaced by calcifications and the splenic vein was occluded. No discrete solid pancreatic mass was seen (Fig.  1). There was no ultrasonographic evidence of gallstones. These findings were initially interpreted as chronic pancreatitis, and the patient was treated for pancreatic insufficiency with oral pancreatic enzyme supplementation.


Invasive Carcinoma Pancreatic Adenocarcinoma Main Pancreatic Duct Intraductal Papillary Mucinous Neoplasm Steatorrhea 
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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Timothy A. Plerhoples
    • 1
  • Michael Ahdoot
    • 1
  • Michael A. DiMaio
    • 2
  • Reetesh K. Pai
    • 2
  • Walter G. Park
    • 3
  • George A. Poultsides
    • 1
  1. 1.Department of SurgeryStanford University Medical CenterStanfordUSA
  2. 2.Department of PathologyStanford University Medical CenterStanfordUSA
  3. 3.Division of Gastroenterology and Hepatology, Department of MedicineStanford University Medical CenterStanfordUSA

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