PMC6608687_01
H&E x100 specimen of pancreatic tail displaying multifocal high-grade intraductal papillary mucinous neoplasia. H&E, hematoxylin and eosin.
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A 68-year-old woman had a laparoscopic distal pancreatectomy for multifocal IPMN-mixed type with two foci of high-grade dysplasia detected on final pathology analysis (Fig. 1).
Magnetic resonance cholangiopancreatography demonstrating a new development of enhancement of a branch duct cystic lesion most distally.
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Magnetic resonance cholangiopancreatography (MRCP) disclosed a newly developed internal enhancement of a 14 mm branch duct cystic dilation adjacent to the distal end (Fig. 2).
PMC6608687_02
H&E x100 specimen of pancreatic tail displaying multifocal high-grade dysplasia pancreatic intraepithelial neoplasia-3.
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Surgical pathology analysis revealed multifocal high-grade dysplasia PanIN-3, with evidence of chronic pancreatitis in the specimen (Fig. 3).
PMC6608687_03