[Macrocystic serous cystadenoma of the pancreas masquerading as a mucinous cystadenoma: case report]. / Cistadenoma seroso macroquístico del páncreas enmascarado como cistadenoma mucinoso. Reporte de un caso.
Cir Cir
; 80(3): 278-82, 2012.
Article
em Es
| MEDLINE
| ID: mdl-23415209
BACKGROUND: Pancreatic macrocystic serous cystadenoma is an uncommon benign lesion that can be misdiagnosed as a mucinous cystic neoplasm which, in turn, harbors malignant potential. We present the case of a patient with a pancreatic macrocystic serous cystadenoma and review current diagnostic modalities. CLINICAL CASE: We present the case of a 28-year-old otherwise-healthy female who was incidentally found to have a pancreatic cyst. Computed tomography (CT) and endoscopic ultrasound (EUS) revealed a 3.0 cm lobulated and septated lesion in the head of the pancreas. Fine-needle aspiration (FNA) of the cyst revealed mucoid contents and a carcinoembryonic antigen (CEA) level of 0.69 ng/mL. The presumptive diagnosis of a mucinous cystic neoplasm was made and the lesion was resected by enucleation. Surgical pathology reported a 1.60 cm dominant cystic lesion lined with cuboidal epithelium and multiple adjacent microscopic satellite cysts, consistent with the macrocystic variant of the serous cystadenoma. CONCLUSIONS: Pancreatic macrocystic serous cystadenoma is uncommon and can be misdiagnosed as a mucinous cystic neoplas. In order to make an accurate diagnosis and to select appropriate treatment, surgeons must be familiar with the current diagnostic modalities.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Pancreáticas
/
Cistadenoma Seroso
/
Cistadenoma Mucinoso
Tipo de estudo:
Diagnostic_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Es
Revista:
Cir Cir
Ano de publicação:
2012
Tipo de documento:
Article
País de publicação:
México