%0 Journal Article %T Pancreatic Collision Tumor of Ductal Adenocarcinoma and Neuroendocrine Tumor %A Anthonia Ijeli %A Anupam Basu %A Marin Sekosan %A Melchor Demetria %A Paula Kovarik %A Seema Gandhi %A Yuchen Wang %J Archive of "ACG Case Reports Journal". %D 2018 %R 10.14309/crj.2018.39 %X A pancreatic collision tumor is a rare entity that can be challenging to diagnose. We present a very rare case of a pancreatic collision tumor composed of both a neuroendocrine tumor and a ductal adenocarcinoma. Preoperative diagnosis was clinically challenging because both the radiology and fine-needle biopsy were consistent with a typical neuroendocrine mass. However, gross examination of the mass postoperatively revealed neuroendocrine cells with rare foci of ductal adenocarcinoma without a transition zone. Awareness of this entity is important so that medical practitioners consider pursuing surgical management of pancreatic lesions that otherwise would be managed exclusively with surveillance %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968152/