Solid and Cystic Tumor of the Pancreas in a Male

Koichi Sutoh, Akio Ouchi, Hiromi Tokumura, Yoichi Imaoka, Kyoji Yamamoto, Takashi Matsushiro

Department of Surgery, Touhoku-Rosai Hospital

A male case of solid and cystic tumor of the pancreas was experienced. The patient was 67 years old. Tumor was detected incidentally on abdominal computed tomography (CT) for further examination of prostatic hypertrophy. Abdominal ultrasonogram and CT showed cystic tumor in the head of the pancreas. Endoscopic retrograde cholangiopancreatography showed complete stenosis of the main pancreatic duct. Pancreatoduodenectomy was performed. On the cut surface, the tumor was composed of solid and cystic lesions, with necrotic and hemorrhagic materials. Microscopically, the tumor cells had small and oval nuclei, and showed sheet-like proliferation. Immunocytochemical staining (PAP-method) for α₁-antitrypsin was positive. From these findings the diagnosis of solid and cystic tumor of the pancreas was made. A total of 126 cases, including this case, in the Japanese literature were reviewed to compare clinical differences between males and females.

Key words
solid and cystic tumor of the pancreas, pancreatoduodenectomy

Reprint requests
Koichi Sutoh First Department of Surgery, Yamagata University School of Medicine
2-2-2 Iidanishi, Yamagata, 990-23 JAPAN

Accepted
February 9, 1994

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