Korean J Gastroenterol.  1998 Mar;31(3):404-409.

A Case of Multiple Mucinous Cystadenocarcinoma of Pancreas Combined with Splenic Vein Occlusion

• Joo SA
• Kae SH
• Rhim CJ
• Jung SH
• Kim KS
• Park WJ
• Park CH
• Kang SS
• Lee J
• Kwak ST

Abstract

The mucinous cystadenocarcinoma of pancreas is a rare malignant cystic tumor. It is filled with tenaceous mucus and arises from malignant transformation of long-standing mucinous cystadenoma. Mucinous cystadenocarcinomas usually exist as single macrocystic mass. It is also known that stretching or involvement of the splenic vein by pancreatic cystic tumor can occlude splenic vein and can cause extrahepatic or left-sided portal hypertension. Recently, we experienced a case of mucinous cystadenocarcinoma which existed as multiple cytic type and caused the splenic vein occlusion. To our.'knowledge, this is the first case in Korea. The patient was 60-year-old woman with epigastric pain. Abdominal CT scan and ulrasonography showed multiple cystic masses in the body and tail of pancreas. The venous phase of celiac angiography revealed prominent collateral veins in the abscence of splenic vein. The surgical specimen showed mucinous cystadenocarcinoma of pancreas.

Keyword

Mucinous cystadenocarcinoma; Pancreas; Splenic vein osslusion

MeSH Terms

Angiography
Cystadenocarcinoma, Mucinous*
Cystadenoma, Mucinous
Female
Humans
Hypertension, Portal
Korea
Middle Aged
Mucins*
Mucus
Pancreas*
Pancreatic Cyst
Splenic Vein*
Tomography, X-Ray Computed
Veins
Mucins