Resection of the solid variant type of pancreatic serous cystoadenoma and review of 13 reported cases

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  • HIYOSHI Masahide
    Department of Surgical Oncology and Regulation of Organ Function, Miyazaki University School of Medicine
  • CHIJIIWA Kazuo
    Department of Surgical Oncology and Regulation of Organ Function, Miyazaki University School of Medicine
  • OHUCHIDA Jiro
    Department of Surgical Oncology and Regulation of Organ Function, Miyazaki University School of Medicine
  • IMAMURA Naoya
    Department of Surgical Oncology and Regulation of Organ Function, Miyazaki University School of Medicine
  • NAGANO Motoaki
    Department of Surgical Oncology and Regulation of Organ Function, Miyazaki University School of Medicine
  • UCHIYAMA Syuichiro
    Department of Surgical Oncology and Regulation of Organ Function, Miyazaki University School of Medicine
  • KAI Masahiro
    Department of Surgical Oncology and Regulation of Organ Function, Miyazaki University School of Medicine
  • KONDO Kazuhiro
    Department of Surgical Oncology and Regulation of Organ Function, Miyazaki University School of Medicine

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Other Title
  • Ｓｏｌｉｄ　ｖａｒｉａｎｔ　ｔｙｐｅの膵漿液性嚢胞腺腫の１切除例と本邦報告例１３例の検討

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Description

A 62-year-old man was admitted to our university hospital for further examination of a tumor in the pancreas tail. Ultrasonography showed a hypoechoic mass, 3cm in size, in the pancreas tail. Plain and enhanced computed tomography showed a low density and well enhanced tumor at the arterial phase, respectively. A hypervascular tumor was observed by arteriography and cystic lesions were not detectable in the tumor by any imaging modalities including endoscopic ultrasonography. Blood chemistry and pancreatic endocrine hormonal analyses showed no abnormality. A non-functional endocrine tumor of the pancreas was considered, and spleen preserving distal pancreatectomy was performed. Macroscopically, no cystic lesion was observed but the pathological findings showed many cystic lesions in the tumor. The epithelium of the cyst was composed of columular cells which were glycogen-rich and positive for PAS staining. The final pathological diagnosis was solid variant serous cystoadenoma of the pancreas. We herein report a case and review of 13 reported cases in the Japanese literature.<br>

Journal

  • Suizo

    Suizo 22 (5), 556-562, 2007

    Japan Pancreas Society

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