The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
A CASE OF SOLID CYSTIC TUMOR OF THE PANCREAS WITH LIVER METASTASIS IN A YOUNG FEMALE
Masayoshi SAKUMATakayuki FURUUCHIHiroki SATONorio UCHIDAKazuo FURUKAWAYutaro KATO
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Volume 56 (1995) Issue 10 Pages 2200-2204

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Abstract

We report a case of solid cystic tumor of the pancreas (SCT) with liver metastasis which occurred in a 17-year-old female. The chief complaint was distension in the left upper abdomen. Abdominal ultrasonography, CT scan and MRI revealed a solid, partially cystic encapsulated tumor about 12cm in diameter in the tail of the pancreas. Also, image examination visualized a liver tumor about 6cm in diameter extending over the segment IV and V. Abdominal angiography showed hypervascularization in both tumors. Distal pancreatectomy with preservation of the spleen and partial liver resection were performed. Histologically the pancreatic tumor was diagnosed as SCT, and the liver tumor was metas-tatic. Capsular invasion was found, but nuclear atypism was not remarkable. SCT with liver metastasis rarely occurs in young females. It is recommended that SCT with liver metastasis should be resected aggressively, as this tumor exhibits a biologically low grade of malignancy.

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