A case of macrocystic serous cystadenoma of the pancreas

International Journal of Pancreatology - Tập 17 - Trang 91-93 - 1995
Kazuhiro Mori1, Shigeru Takeyama1, Hisashi Hirosawa1, Toshio Watanabe1, Takao Taniya1, Hajime Arakawa1, Takukazu Nagakawa2, Tetsuo Ohta2, Itsuo Miyazaki2, Yasuni Nakanuma3
1Department of Surgery, Kurobe Municipal Hospital, Kurobe City, Japan
2Department of Surgery 11, School of Medicine, Kanazawa University, Kanazawa, Japan
3Department of Pathology II, School of Medicine, Kanazawa University, Kanazawa, Japan

Tóm tắt

A case of macrocystic serous cystadenoma of the pancreas is presented, and literature is reviewed. A 35-yr-old woman presented with mild upper abdominal pain. Abdominal ultrasonography and an abdominal computed tomography revealed a multiloculated and calcified cyst in the body of the pancreas. A T1-weighted image, using magnetic resonance imaging, revealed a low-intensity mutiloculated, pancreatic mass. In contrast, T2-imaging of the tumor showed a high-intensity mass. Endoscopic retrograde cholangiopancreatography showed no contact between the main pancreatic duct and the tumor. The preoperative diagnosis was a mucinous cystic neoplasm. Tumor enucleation was performed. Subsequent microscopic examination of this tumor suggested the diagnosis of a macrocystic serous cystadenoma of the pancreas.

Tài liệu tham khảo

Becker WF, Welsh RA, Pratt HS. Cystadenoma and cystadenocarcinoma of the pancreas.Ann Surg 1965; 161: 845–863. Cubilla LA, Fitzgerald PJ. Tumors of the exocrine pancreas, inAtlas of Tumor Pathology, 2nd ser. Armed Forces Institute of Pathology, 1984, p. 19. Compagno J, Oertel JE. Microcystic adenomas of the pancreas (glycogen-rich cystadenomas). a clinico-pathologic study of 34 cases.Am J Clin Pathol 1978; 69: 289–298. Compagno J, Oertel JE. Mucinous cystic neoplasms of the pancreas with over and latent malignancy (cystadenocarcinoma and cystadenoma).Am J Clin Pathol 1978; 69: 573–580. Lewandrowski K, Warshaw A, Compton C. Macrocystic serous cystadenoma of the pancreas: a morphologic variant differing from microcystic adenoma.Human Pathol 1992; 23: 871–875. Katoh H, Rossi RL, Braasch JW, Munson JL, Shimozawa E, Tanabe T. Cystadenoma and cystadenocarcinoma of the pancreas.Hepatogastroenterology 1989; 36: 424–430. Warshaw A, Compton C, Lewandrowski K, Cardenosa G, Mueller R. Cystic tumors of the pancreas: new clinical, radiologic, and pathologic observation in 67 patients.Ann Surg 212: 432–445. Hamada Y, Furuta K, Meshiro K, Miyazaki R, Okamoto K, Nakayama Y, Ikeda S, Murayama H. A case of serous cystadenoma of the pancreas.Diag Image Abdomen 1992; 12: 546–550 (Japanese with English abst).