Two Cases of Solid and Cystic Tumor of the Pancreas

Senji Kanno, Takayuki Sudo, Ryoko Sasaki, Yoshiyuki Tamasawa, Hidehiro Toyoshima, Hidetoshi Omori, Tadashi Abe, Kazuyoshi Saito, Katsu Suzuki*, Yoshiyuki Yashima*, Sumio Kusaka*

Department of Surgery I, School of Medicine, Iwate Medical University
*Department of Surgery, Prefectural Miyako Hospital

This is a report of two cases of solid and cystic tumor of pancreas. Both tumors occurred in young women (each12 years) who presented with an abdominal mass. The patients in the second case presented with jaundice and general itching four months ago. Both tumors were large (8.1×8.0 cm, 75 g; 7.5×6.5 cm, 180 g), one requiring a 70% distal pancreatectomy and the other a pancreatoduodenectomy. Gross pathologic examination revealed apparent encapsulation, cystic degeneration and hemorrhagic necrosis. Microscopically, the tumors were charactrized by distinctive solid and cystic patterns. In the first case, immunocytochemical the staining (PAP-method) for α₁-antitrypsin was postive. Both patients presented here are alive and well after six and seven years postsurgery.

Key words
solid and cystic tumor

Reprint requests
Senji Kanno Department of Surgery, I, School of Medicine, Iwate Medical University
19-1 Uchimaru, Morioka, 020 JAPAN

Accepted
November 8, 1989

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