Simultaneous Pancreatic Serous Microcystic Adenoma and Intraductal Papillary Mucinous Tumor of the Pancreas: A Case Report
- Affiliations
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- 1Department of Pathology, Sun General Hospital, Daejeon, Korea.
- 2Department of Radiology, Chonbuk National University Medical School, Jeonju, Korea.
- 3Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Korea. mws@chonbuk.ac.kr
- 4Department of Surgery, Chonbuk National University Medical School, Jeonju, Korea.
- 5Department of Pathology, Chonbuk National University Medical School, Jeonju, Korea.
Abstract
- Serous cystadenomas of the pancreas account for approximately a third of pancreatic cystic neoplasms. Their coexistence with a second tumor is extremely rare. We now report a case of a serous microcystic adenoma combined with an intraductal papillary mucinous tumor of the pancreas in a 69-year-old man. Abdominal computed tomography scans demonstrated an incidental cystic mass in the body with cystic dilatation of the duct in the head of the pancreas. Central pancreatectomy with pancreatico-jejunostomy, and cyst excision of the pancreatic head were performed. Histologic examination demonstrated a serous microcystic cystadenoma in the body coexisting with an intraductal papillary mucinous adenoma in the head of the pancreas. This case study highlights the importance of careful intra-operative and pathologic examination for synchronous pancreatic tumors.