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A Case of Mucinous Cystic Neoplasm of the Pancreas Communicating with the Main Pancreatic Duct  

Hwang, Jae-Jin (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University)
Kim, Tae-Hyo (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University)
Kim, Wan-Su (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University)
Jang, Hyeoun-Jung (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University)
Kim, Hong-Jun (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University)
Kim, Hyun-Jin (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University)
Jung, Woon-Tae (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University)
Lee, Ok-Jae (Department of Internal Medicine and Institute of Health Science, School of Medicine, Gyeongsang National University)
Publication Information
Clinical Endoscopy / v.41, no.5, 2010 , pp. 324-327 More about this Journal
Abstract
Diagnoses of cystic lesions in the pancreas are increasing in clinical practice because of the wider use of imaging studies. The selection of appropriate treatment depends on the ability to distinguish between benign and malignant cysts. However, cystic pancreatic neoplasms are sometimes misdiagnosed as pseudocysts and treated improperly. We experienced a case of mucinous cystic neoplasm of the pancreas misdiagnosed as a pseudocyst, which had a communication between the cyst and the main pancreatic duct.
Keywords
Mucinous cystic neoplasm (MCN); Pancreas; Main pancreatic duct; Communication;
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1 Sperti C, Pasquali C, Guolo P, Polverosi R, Liessi G, Pedrazzoli S. Serum tumor markers and cyst fluid analysis are useful for the diagnosis of pancreatic cystic tumors. Cancer 1996;78:237-243.   DOI   ScienceOn
2 Lewandrowski KB, Southem JF, Pins MR, Compton CC, Warshaw AL. Cystic fluid analysis in the differential diagnosis of pancreatic cysts. A comparison of pseudocysts, serous cystadenomas, mucinous cystic neoplasms and muninous cystadenocarcinoma. Ann Surg 1993;217:41-47.   DOI   ScienceOn
3 Shima Y, Mori M, Takakura N, Kimura T, Yagi T, Tanaka N. Diagnosis and management of cystic pancreatic tumours with mucin production. Br J Surg 2000;87:1041-1047.   DOI   ScienceOn
4 Grogan JR, Saeian K, Taylor AJ, Quiroz F, Demeure MJ, Komorowski RA. Making sense of mucin-producing pancreatic tumors. AJR Am J Roentgenol 2001;176:921-929.   DOI   ScienceOn
5 Sarr MG, Kendrick ML, Nagorney DM, Thompson GB, Farley DR, Farnell MB. Cystic neoplasms of pancreas: benign to malignant epithelial neoplasms. Surg Clin North Am 2001;81:497-509.   DOI   ScienceOn
6 Warshaw AL, Compton CC, Lewandrowski K, Cardenosa G, Mueller PR. Cystic tumors of the pancreas. New clinical, radiologic, and pathologic observations in 67 patients. Ann Surg 1990;212:432-443.   DOI   ScienceOn
7 Buetow PC, Rao P, Thompson LD. From the Archives of the AFIP. Mucinous cystic neoplasms of the pancreas: radiologic-pathologic correlation. Radiographics 1998;18:433-449.   DOI
8 Goh BK, Tan YM, Chung YA, et al. Chow. A review of mucinous cystic neoplasm of the pancreas defined by ovarian-type stroma: clincopathological features of 344 patients. World J Surg 2006;30:2236-2245.   DOI   ScienceOn
9 Gazelle GS, Mueller PR, Raafat N, Halpem EF, Cardenosa G, Warshaw AL. Cystic neoplasms of the pancreas: evaluation with endoscopic retrograde pancreatography. Radiology 1993;188:633-636.   DOI
10 Brugge WR, Lewandrowski K, Lee-Lewandrowski E, et al. Diagnosis of pancreatic cystic neoplasms: a report of the cooperative pancreatic cyst study. Gastroenterology 2004;126:1330-1336.   DOI   ScienceOn
11 Repak R, Rejchrt S, Bartova J, Malirova E, Tycova V, Bures J. Endoscopic ultrasonography (EUS) and EUS-guided fine-needle aspiration with cyst fluid analysis in pancreatic cystic neoplasms. Hepatogastroenterology 2009;56:629-635.
12 Warshaw AL, Rutledge PL. Cystic tumors mistaken for pancreatic pseudocysts. Ann Surg 1987;205:393-398.   DOI   ScienceOn
13 Snozek CL, Mascarenhas RC, O'Kane DJ. Use of cystic fluid CEA, CA19-9, and amylase for evaluation of pancreatic lesions. Clin Biochem 2009;42:1585-1588.   DOI   ScienceOn
14 Goh BK, Tan YM, Cheow PC, et al. Cystic neoplasms of the pancreas with mucin-production. Eur J Surg Oncol 2005;31:282-287.   DOI   ScienceOn
15 Brugge WR, Lauwers GY, Sahani D, Fernandez-del Castillo C, Warshaw AL. Cystic neoplasms of the pancreas. N Engl J Med 2004;351:1218-1226.   DOI   ScienceOn
16 Civello IM, Frontera D, Viola G, Maria G, Crucitti F. Cystic neoplasm mistaken for pancreatic pseudocyst. Hepatogastroenterology 1996;43:967-970.
17 Machado MC, Montagnini AL, Machado MA, et al. Cystic tumors mistaken for pancreatic pseudocyst; report on 5 cases and review of the literature. Rev Hosp Clin Fac Med Sao Paulo 1994;49:246-249.
18 Martin I, Hannond P, Scott J, Redhead D, Carter DC, Garden OJ. Cystic tumors of the pancreas. Br J Surg 1998;85:1484-1486.   DOI   ScienceOn
19 Tanaka M, Chari S, Adsay V, et al. International consensus guidelines for management of intraductal papillary mucinous neoplasms and mucinous cystic neoplasms of the pancreas. Pancreatology 2006;6:17-32.   DOI   ScienceOn
20 Izumo A, Yamaguchi K, Eguchi T, et al. Mucinous cystic tumor of the pancreas: immunohistochemical assessment of 'ovarian-type stroma'. Oncol Rep 2003;10:515-525.