A Case of Multiple Serous Cystadenoma of the Pancreas

Yasutomo Azumi, Kazuo Miyamura, Yoshihiko Furuya, Shinichi Nakayama, Yoshiki Horita, Yukio Tagashira

Department of Surgery, Hyogo Prefectural Kakogawa Hospital

We report a recently observed case of serous cystadenoma occurring at the same time in the head and body of the pancreas, with a review of the literature. The patient was a 49-year-old woman who visited the hospital with a chief complaint of abdominal discomfort. Ultrasonography of the abdomen disclosed multilocular cysts, 3 cm in diameter in the head of the pancreas and 1.5 cm in diameter in the body. Careful examination suggested multiple serous cystadenoma of the pancreas and resection of the head and body of the pancreas with duodenectomy was performed. Examination of the excised specimens showed that the mass in the head of the pancreas measured 5×3×4 cm, was definitely demarcated from the surrounding pancreatic parechyma, and consisted of multiple cysts of 2-16 mm, containing serous fluid. The main pancreatic duct was slightly stenosed. the mass in the body of the pancreas was 1.5 cm in diameter and was composed of many cysts of 1-6 mm. Histopathologically, a diagnosis of serous cystadenoma occurring in the head and body of the pancreas was made. The literature was discussed in regard to differentiation from mucous cystadenoma by diagnostic imaging as compared with pathological findings.

Key words
serous cystadenoma of the pancreas

Reprint requests
Yasutomo Azumi Department of Surgery, Hyogo Prefectural Kakogawa Hospital
770-l Awazu, Kakogawa-cho, Kakogawa, 675 JAPAN

Accepted
April 17, 1991

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