Korean J Pathol.  2011 Jul;45(Suppl 1):S29-S31. 10.4132/KoreanJPathol.2011.45.S1.S29.

Simultaneous Pancreatic Serous Microcystic Adenoma and Intraductal Papillary Mucinous Tumor of the Pancreas: A Case Report

Affiliations
  • 1Department of Pathology, Sun General Hospital, Daejeon, Korea.
  • 2Department of Radiology, Chonbuk National University Medical School, Jeonju, Korea.
  • 3Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Korea. mws@chonbuk.ac.kr
  • 4Department of Surgery, Chonbuk National University Medical School, Jeonju, Korea.
  • 5Department of Pathology, Chonbuk National University Medical School, Jeonju, Korea.

Abstract

Serous cystadenomas of the pancreas account for approximately a third of pancreatic cystic neoplasms. Their coexistence with a second tumor is extremely rare. We now report a case of a serous microcystic adenoma combined with an intraductal papillary mucinous tumor of the pancreas in a 69-year-old man. Abdominal computed tomography scans demonstrated an incidental cystic mass in the body with cystic dilatation of the duct in the head of the pancreas. Central pancreatectomy with pancreatico-jejunostomy, and cyst excision of the pancreatic head were performed. Histologic examination demonstrated a serous microcystic cystadenoma in the body coexisting with an intraductal papillary mucinous adenoma in the head of the pancreas. This case study highlights the importance of careful intra-operative and pathologic examination for synchronous pancreatic tumors.

Keyword

Serous cystic neoplasm; Intraductal papillary mucinous neoplasm; Pancreas
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