Intraductal Tubular Adenoma: A Case Report and Diagnostic Algorithm for Intraductal Pancreatic Lesions

Abstract

A Case Report and Diagnostic Algorithm for Intraductal Abstract Intraductal lesions of the pancreas are an increasingly recognized, radiologically detectable group of entities that require a systematic diagnostic approach to best define management given their variable prognoses. A case of isolated intraductal tubular adenoma (ITA) is reported with a comprehensive literature review; comparison of ITAs with intraductal papillary mucinous neoplasms (IPMNs) and intraductal tubular carcinomas (ITCs) is made with assessment of their distinctive imaging and histological findings and discussion of the evolution of these lesions’ classifications with regards to the established literature. We designed and propose an algorithm for the evaluation of these intraductal lesions to create a systematic approach for the diagnosis and management of such lesions. and histologic characteristics mirrored the aforementioned findings from the MPD; no increased mitotic rate, cytological atypia, or necrosis were identified. IHC indeterminant