Pancreatic serous cystadenoma – A case report

  • Dr. Bhavana Grandhi MD, Assistant Professor, NTR University of Health Sciences & Department of Pathology, Narayana Medical College, Nellore, Andhra Pradesh, India
  • Dr.Vissa Shanthi MD, Associate Professor, NTR University of Health Sciences & Department of Pathology, Narayana Medical College, Nellore, Andhra Pradesh, India
  • Dr. Nandam Mohan Rao MD, Associate Professor, NTR University of Health Sciences & Department of Pathology, Narayana Medical College, Nellore, Andhra Pradesh, India
  • Dr.Vengala Chidananda Reddy MD, DCP. Assistant Professor, NTR University of Health Sciences & Department of Pathology, Narayana Medical College, Nellore, Andhra Pradesh, India
  • Dr. Kuppili Murali Mohan Professor & HOD, NTR University of Health Sciences & Department of Pathology, Narayana Medical College, Nellore, Andhra Pradesh, India
Keywords: Microcystic serous cystadenoma, Pancreatic tumours, Pancreactomy

Abstract

Microcystic serous cystadenoma is a benign tumor of pancreas, also termed as Clear cell or Glycogen rich adenoma. It occurs at any site in pancreas and composed of small cystic spaces lined by small cuboidal cells with clear cytoplasm, glycogen. There is an association with von Hippel Lindau syndrome in few cases. Clinical symptoms are variable. Excision is almost curative. We report a case of 70 year old male who presented to the OPD with vague complaints of local discomfort. Ultrasound showed a mass in the pancreas. Pancreatectomy was done and diagnosed as microcystic serous cystadenoma of pancreas on histopathology.

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References

1. Laura,Webb, Lamps, Diagnostic Pathology Hepatobiliary and Pancreatic, In.Amirsys Publishing Inc;2011,11-5-14.

2. George DH, Murphy F, Michalski R, Ulmer BG. Serous cystadenoma of the pancreas: a new entity? Am J Surg Pathol 1989; 13(1):61-6. [PubMed]

3. Pancreas and periampullary region In, Rosai & Ackermann Surgical Pathology, 9th edition Mosby Publishers Vol I; 2010.

4. Lesandrowsky K. Macrocystic serous Cystadenoma of the Pancreas: A morphologic variant differing from Microcystic Adenoma.Hum Pathol 1992; 23:871. [PubMed]

5. Bill A. Rampy, DO, PhD; Irving Waxman, MD; Shu-Yuan Xiao, MD; Roberto Logron˜o, MD.Serous Cystadenoma of the Pancreas With Papillary Features.A Diagnostic Pitfall on Fine-Needle Aspiration Biopsy. Arch Pathol Lab Med 2001; 125:1591.

6. Panarelli NC, Park KJ, Hruban RH, Klimstra DS. Microcystic serous cystadenoma of the pancreas with subtotal cystic degeneration: another neoplastic mimic of pancreatic pseudocyst. Am J Surg Pathol 2012; 36:726-31.

6. Panarelli NC, Park KJ, Hruban RH, Klimstra DS. Microcystic serous cystadenoma of the pancreas with subtotal cystic degeneration: another neoplastic mimic of pancreatic pseudocyst. Am J Surg Pathol 2012; 36:726-31. [PubMed]

8. Pathology outlines.com [PubMed]

9. Johnson CD, Stephens DH, Charboneau JW, et al. Cystic pancreatic tumors: CT and sonographic assessment. AJR Am J Roentgenol 1988; 151: 1133-8. [PubMed]

10. Healy JC, Davies SE, Reznek RH. CT of microcystic (serous) pancreatic adenoma. J Comput Assist Tomogr 1994; 18:146-8. [PubMed]

11. Balthazar EJ, Chako AC. Computed tomography of pancreatic masses. Am J Gastroenterol 1990; 85: 343-9. [PubMed]

12. Warshaw AL, Rutledge PL. Cystic tumors mistaken for pancreatic pseudocysts. Ann Surg 1987; 205: 393-8. [PubMed]

13. Itai Y, Ohhashi K, Furui S, et al. Microcystic adenoma of the pancreas: spectrum of computed tomographic findings. J Comput Assist Tomogr 1988; 12: 797-803. [PubMed]

14. O'Connor M, Kolars J, Ansel U, et al. Preoperative endoscopic retrograde cholangiopancreatography in the surgical management of pancreatic pseudocysts. Am J Surg 1986; 151: 18-24.

15. Yamaguchi K, Chijiwa K, Shimizu S, et al. Comparison of endoscopic retrograde and magnetic resonance cholangiopancreatography in the surgical diagnosis of pancreatic diseases. Am J Surg 1998; 175: 203-8.

16. Laucirica R, Schwartz MR, Ramzy I. Fine needle aspiration of pancreatic cystic epithelial neoplasms. Acta Cytologica 1992; 36: 881-6. [PubMed]

17. Lewandrowski K, Southern J, Pins M, et al. Cyst fluid analysis in the diagnosis of pancreatic cysts: a comparison of pseudocysts, serous cystadenomas, mucinous cystic neoplasms, and mucinous cystadenocarcinomas. Ann Surg1993; 217: 41-7.

18. Hammel P, Levy P, Voiter H, et al. Preoperative cyst fluid analysis is useful for the differential diagnosis of cystic lesions of the pancreas. Gastroenterology 1995; 108: 1230-5. [PubMed]

19. Yong WH, Southern JF, Warshaw AL, et al. Cyst fluid NB/70K concentration and leukocyte esterase: two new markers for differentiating pancreatic serous tumors from pseudocysts. Pancreas 1995; 10: 342-6.
Pancreatic serous cystadenoma – A case report
CITATION
DOI: 10.17511/ijmrr.2014.i04.20
Published: 2014-08-31
How to Cite
1.
Grandhi B, Shanthi V, Mohan Rao N, Reddy VC, Kuppili MM. Pancreatic serous cystadenoma – A case report. Int J Med Res Rev [Internet]. 2014Aug.31 [cited 2024Jul.3];2(4):382-4. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/123
Section
Case Report