A Case of Serous Cystadenoma of the Pancreas with a Main Complaint of Obstructive Jaundice

Yuichi Tomiki, Yoshifumi Ri, Hitoshi Funabiki, Toshio Morimoto, Ryoichi Akimoto, Hiroshi Sasaki, Hideki Sakurai, Toshiyuki Nakagawa, Hidenori Tsumura, Yozo Watanabe, Michio Matsumoto*

Department of Surgery and Department of Pathology*, Juntendo-Izunagaoka Hospital

We recently resected a serous cystadenoma of the pancreas with obstructive jaundice in our department and the case report is presented in this article. A 56-year-old man visited our hospital with a main complaint of jaundice. An abdominal ultrasonogram and CT scan revealed a cystic lesion corresponding with the head of the pancreas, and angiography showed the tumor to be hypovascular. Serous cystadenoma was then diagnosed after laparotomy. Up to the end to 1988 a total of 69 patients, including ours, with serous cystadenoma of the pancreas were reported in Japan and are reviewed in this study. This disease is routinely diagnosed by imaging, description of the internal structure of the mass, and analysis of its contents. However, because some cases show image findings similar to those of mucinous type which tend to be malignant, it is desirable to confirm the diagnosis surgically.

Key words
serous cystadenoma of the pancreas, mucinous cystadenoma of the pancreas

Reprint requests
Yuichi Tomiki Department of Surgery, Juntendo-Izunagaoka Hospital
1129 Nagaoka Izunagaoka-cho, Tagata-gun, Shizuoka, 410-22 JAPAN

Accepted
May 13, 1992

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