Solid variant type of serous cystadenocarcinoma of the pancreas: A case report and review of the literature

Abstract Serous cystic neoplasms (SCN) of the pancreas are typically honeycombed microcystic masses, which are believed to be benign entity. This report describes a case of a 69-year-old man with a rare solid type of serous cystadenocarcinoma of the pancreas with liver metastases. A 6-cm well enhanc...

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Bibliographic Details
Published in:Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2015-03, Vol.15 (2), p.197-199
Main Authors: Kainuma, Osamu, Yamamoto, Hiroshi, Cho, Akihiro, Arimitsu, Hidehito, Yanagibashi, Hiroo, Takiguchi, Nobuhiro, Nabeya, Yoshihiro, Kawana, Hidetada
Format: Article
Language:English
Subjects:
Abdomen
Antigens
Cystadenocarcinoma, Serous - genetics
Cystadenocarcinoma, Serous - pathology
Cystadenocarcinoma, Serous - surgery
Cysts
Endocrinology & Metabolism
Gallbladder
Gastroenterology and Hepatology
Hernias
Humans
Infant, Newborn
Liver
Liver - pathology
Liver metastases
Liver Neoplasms - secondary
Magnetic Resonance Imaging
Male
Medical imaging
Metastasis
NMR
Nuclear magnetic resonance
Pain
Pancreas
Pancreatectomy
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - surgery
PAS stain
pNET
Serous cystadenocarcinoma
Solid type
Tomography, X-Ray Computed
Treatment Outcome
Tumors
Ultrasonic imaging
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Summary:Abstract Serous cystic neoplasms (SCN) of the pancreas are typically honeycombed microcystic masses, which are believed to be benign entity. This report describes a case of a 69-year-old man with a rare solid type of serous cystadenocarcinoma of the pancreas with liver metastases. A 6-cm well enhanced pancreatic tumor and multiple liver nodules were depicted with contrast medium on computed tomography scan. Distal pancreatectomy was performed at first operation. The cut surface of the tumor was solid and glossy appearance. Second operation of liver resection for all metastatic nodules was performed 27 months after the initial operation. The tumor cells in both the pancreas and the liver had cytoplasmic periodic acid-Schiff positive granules, which were completely digested by diastase. Eleven cases of serous cystadenocarcinoma of the pancreas have been reported in the literature. To our knowledge, this is the first case of a solid type serous cystadenocarcinoma.
ISSN:1424-3903
1424-3911
DOI:10.1016/j.pan.2015.02.003