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JPTM > Volume 45(0); 2011 > Article
The Korean Journal of Pathology 2011;45(Suppl 1): S29-S31.
doi: https://doi.org/10.4132/KoreanJPathol.2011.45.S1.S29
Simultaneous Pancreatic Serous Microcystic Adenoma and Intraductal Papillary Mucinous Tumor of the Pancreas: A Case Report.
Hyoung Jong Kwak, Young Kon Kim, Baik Hwan Cho, Woo Sung Moon
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.
Key Words: Serous cystic neoplasm; Intraductal papillary mucinous neoplasm; Pancreas