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Special Feature
March 01, 2005

Image of the Month—Quiz Case

Author Affiliations

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(3):311-312. doi:10.1001/archsurg.140.3.311

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.

What Is the Diagnosis?

A. Pancreatic adenocarcinoma

B. Chronic focal pancreatitis

C. Intraductal pancreatic mucinous neoplasm

D. Intraductal neuroendocrine neoplasm

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