A disseminated variant of pancreatic serous cystadenoma causing obstructive jaundice, a very rare entity: a case report and review of the literature

Microcystic adenoma or serous cystadenoma (SCA) is an uncommon tumor type, accounting for only 1-2% of pancreatic exocrine neoplasms. Usually unifocal, SCAs present as single, large, well-demarcated, multiloculated, cystic tumors, 1-25 cm in size. A 73-year-old man initially presented with epigastri...

Full description

Saved in:
Bibliographic Details
Published in:BMC research notes 2014-10, Vol.7 (1), p.749-749, Article 749
Main Authors: Al-Jiffry, Bilal O, Rayzah, Fares, Khayat, Samah H
Format: Article
Language:English
Subjects:
Abdominal Pain - etiology
Aged
Care and treatment
Case Report
Cholangiopancreatography, Magnetic Resonance
Cystadenoma, Serous - complications
Cystadenoma, Serous - pathology
Cystadenoma, Serous - surgery
Diagnosis
Health aspects
Humans
Jaundice, Obstructive - diagnosis
Jaundice, Obstructive - etiology
Jaundice, Obstructive - surgery
Male
Pancreatectomy
Pancreatic Neoplasms - complications
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - surgery
Patient outcomes
Predictive Value of Tests
Risk Factors
Tomography, X-Ray Computed
Treatment Outcome
Tumors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Microcystic adenoma or serous cystadenoma (SCA) is an uncommon tumor type, accounting for only 1-2% of pancreatic exocrine neoplasms. Usually unifocal, SCAs present as single, large, well-demarcated, multiloculated, cystic tumors, 1-25 cm in size. A 73-year-old man initially presented with epigastric abdominal pain and was diagnosed with SCA involving the whole pancreas. Eleven months later, he presented with obstructive jaundice, and total pancreatectomy was performed. The removed tissue allowed histological verification of pancreatic SCA. Histopathological examination showed both microcysts and macrocysts, lined by cuboidal epithelium, with optically clear cytoplasm and the absence of detectable mitosis or necrosis. Thus, although relatively rare, pancreatic SCA is one of the differential diagnoses of epigastric abdominal pain; we recommend early surgical intervention for symptomatic pancreatic SCA.
ISSN:1756-0500
1756-0500
DOI:10.1186/1756-0500-7-749