Microcystic serous cystadenoma of pancreas. Clinicopathological and surgical features
Spitale, L.S.; de la Fuente, J.L.; Pérez Giménez, P.A.; Saliba, J.A.; Montenegro, R.B.
Acta Gastroenterologica Latinoamericana 27(1): 39-42
1997
ISSN/ISBN: 0300-9033 PMID: 9412124 Document Number: 479436
The microcystic serous cystadenoma of pancreas or glycogen "rich" cystadenoma is a rare entity. We studied five case of this cystadenoma in adult patients ages 47-68 (58 was the mean), four of which were women (80%). The clinical presentation was varied. There was a prevalence of expansive manifestations with epigastric pain in three patients, and extrahepatic bile duct obstruction in other two. A distal tumour was revealed by the diagnostic methodology used (ultrasound and TAC) in three patients, and cephalic tumour in two, with a mean size of 8.8 cm. in diameter. A distal pancreatectomy was performed in two patients, a cephalic pancreatoduodenectomy was performed in one in relation with the presence of extrahepatic bile duct carcinoma, and the other two were treated with a partial cephalic pancreatectomy (enucleation). The nosological diagnose was post-surgical in all case of study. A prognosis for every case was dependent of the associated pathology.