TOTAL PANCREATECTOMY FOR DIFFUSE AND MALI GNANT MUCINOUS DUCTAL ECTASIA OF THE PANCREAS - REPORT OF 2 CASES

Two cases of mucinous duct ectasia are reported. Epithelial changes we re spread along the pancreatic duct and ductal ectasia was diffuse. Mu lti focal infiltrating carcinoma was observed in one case, microinvasi ve carcinoma located in the head of the pancreas was observed. Morphol ogic features by computed tomography, endoscopic ultrasonography pancr eatography were useful for preoperative diagnosis of mucinous pancreat ic duct ectasia. In one case, malignancy was suggested by measurement of tumor markers in cystic fluid aspirated during percutaneous pancrea tography. Total duodenopancreatectomy was performed in birth cases. Th e two patients were alive and disease-free with a follow-up in both ca ses of 18 and 36 months.