Внутрипротоковая папиллярная муцинозная опухоль поджелудочной железы, ассоциированная с протоковой аденокарциномой

Intraductal papillary mucinous neoplasm (IPMN) and solid pseudopapillary neoplasm (SPN) are rare tumors of the pancreas. The combination of these two pancreatic neoplasms is extremely rare. Case of synchronous solid pseudopapillary neoplasm of the pancreatic tail and intraductal papillary mucinous neoplasm of the pancreatic head associated with ductal adenocarcinoma is presented. Pancreatoduodenectomy with resection of the pancreas body, resection of the mesenteric-portal trunk, distal pancreatectomy, splenectomy was performed. Thus, part of the pancreatic tissue was preserved, which allowed to avoid pancreatic insuffiency.