# Pancreatic Intraductal Papillary Mucinous Neoplasm With Invasive Carcinoma Concomitant With Ampullary Neuroendocrine Tumor: A Case Report

## TL;DR

This case report describes a rare situation where two tumors occurred together in a patient's pancreas and ampulla, requiring surgery and close monitoring.

## Contribution

The novelty lies in documenting a rare co-occurrence of pancreatic and ampullary tumors with lymph node metastasis.

## Key findings

- A patient had pancreatic intraductal papillary mucinous neoplasm with invasive carcinoma and ampullary neuroendocrine tumor.
- Laparoscopic pancreaticoduodenectomy was performed with no recurrence in 12 months.
- Both tumors showed lymph node metastasis, highlighting the need for timely biopsy.

## Abstract

This case reports a rare co‐occurrence of pancreatic intraductal papillary mucinous neoplasm with invasive carcinoma and ampullary neuroendocrine tumor. Laparoscopic pancreaticoduodenectomy was done. No recurrence/metastasis in 12‐month follow‐up, though both tumors had lymph node metastasis, warranting attention to timely biopsy.