1991 Volume 24 Issue 8 Pages 2256-2260
We report a recently observed case of serous cystadenoma occurring at the same time in the head and body of the pancreas, with a review of the literature. The patient was a 49-year-old woman who visited the hospital with a chief complaint of abdominal discomfort. Ultrasonography of the abdomen disclosed multilocular cysts, 3 cm in diameter in the head of the pancreas and 1.5 cm in diameter in the body. Careful examination suggested multiple serous cystadenoma of the pancreas and resection of the head and body of the pancreas with duodenectomy was performed. Examination of the excised specimens showed that the mass in the head of the pancreas measured 5×3×4cm, was definitely demarcated from the surrounding pancreatic parechyma, and consisted of multiple cysts of 2-16 mm, containing serous fluid. The main pancreatic duct was slightly stenosed. the mass in the body of the pancreas was 1.5 cm in diameter and was composed of many cysts of 1-6 mm. Histopathologically, a diagnosis of serous cystadenoma occurring in the head and body of the pancreas was made. The literature was discussed in regard to differentiation from mucous cystadenoma by diagnostic imaging as compared with pathological findings.
