Author： Tanno Satoshi Obara Takeshi Sohma Mitsuhiro Tanaka Toshihide Izawa Tsutomu Fujii Tsuneshi Nishino Noriyuki Ura Hitoshi Kohgo Yutaka
Publisher： Humana Press, Inc
ISSN： 1537-3649
Source： International Journal of Gastrointestinal Cancer, Vol.24, Iss.2, 1998-10, pp. : 129-132
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Abstract
Serous cystadenoma of the pancreas is usually unifocal; multifocal tumors are rare. We report a case of multifocal serous cystadenoma of the pancreas in a 48-yr-old female complaining of general malaise. Serum tumor markers, such as CA 19-9, DUPAN-2, and Span-1, were elevated. Abdominal ultrasound (US) and computed tomography (CT) scans revealed two distinct cystic masses in the head and body of the pancreas, respectively. The patient underwent total pancreatectomy. The resected pancreas contained two discrete cystic masses in the head and body; no solid components were observed. Microscopically, the inner surfaces of the cysts were evenly lined by a single layer of low cuboidal or significantly attenuated epithelial cells containing clear cytoplasm and abundant glycogen without other morphological alterations. The histogenesis of serous cystadenoma is not clear; multicentric tumors may be helpful in understanding histogenesis.
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