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Robert C. G. Martin II, MD; Michael D’Angelica, MD; Leslie H. Blumgart, MD
Author Affiliations: Hepatobiliary Division, Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY. Dr Martin is now with the Department of Surgery, University of Louisville, Louisville, Ky.

Arch Surg. 2005;140:311-312.

INTRODUCTION
A 57-year-old man presented with a 16-month history of nonspecific upper abdominal pain and a 15.75-kg weight loss. Workup included magnetic resonance imaging (Figure 1) and intraoperative findings (Figure 2) that demonstrated a small (1.4-cm) hypervascular lesion within the head of the pancreas with marked pancreatic duct dilation.

View larger version (46K): [in this window] [in a new window] Figure 1.

View larger version (149K): [in this window] [in a new window] Figure 2.

What Is the Diagnosis?

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A. Pancreatic adenocarcinoma

B. Chronic focal pancreatitis

C. Intraductal pancreatic mucinous neoplasm

D. Intraductal neuroendocrine neoplasm

Answer

SECTION EDITOR: GRACE S. ROZYCKI, MD

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Image of the Month—Diagnosis
Arch Surg. 2005;140(3):312.
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