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Special Feature
March 1, 2005

Image of the Month—Quiz Case

Author Affiliations

Copyright 2005 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2005

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