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Chang YJ, Lee HC, Yeung CY, Chen WT, Jiang CB. A rare case of pancreatic macrocystic serous cystadenoma in an adolescent: a case report and literature review. J Int Med Res 2022; 50:3000605221129102. [PMID: 36259129 PMCID: PMC9583217 DOI: 10.1177/03000605221129102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
While serous cystadenomas of the pancreas usually consist of small cysts, one rare variant has been reported to be composed of macrocysts. Herein, we present the case of the youngest patient with macrocystic serous cystadenoma (MSC) to be reported in the literature. The patient was a 17-year-old girl who presented with the major symptoms of a palpable abdominal mass accompanied by epigastric pain and vomiting for several months. A potential malignancy could not be excluded on the basis of imaging studies, which showed a large macrocystic pancreatic tumor that was 7 cm in diameter. Owing to the patient's symptoms, after diagnosing the mass as a pancreatic cystic tumor with potential malignancy and large tumor size, surgical intervention was arranged. Pathological analysis of the biopsy sample suggested MSC. By reviewing the literature, we found several unique characters of MSCs that cause them to be frequently misdiagnosed as potential malignancies. Additionally, the age of MSC occurrence was found to be lower than of general serous cystadenomas. The potential of MSC should be kept in mind by clinicians when diagnosing young people with pancreatic macrocystic lesions.
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Affiliation(s)
- Yu-Jui Chang
- Department of Pediatrics, Taipei City Hospital Zhongxiao Branch,
Taipei City
| | - Hung-Chang Lee
- Division of Gastroenterology and Hepatology, Department of
Pediatrics, MacKay Children’s Hospital, Taipei City,Department of Medicine, MacKay Medical College, New Taipei
City,Hung-Chang Lee, MacKay Memorial Hospital,
No. 92, Sec. 2, Zhongshan N. Rd., Zhongshan Dist., Taipei City 104217 (R.O.C.).
| | - Chun-Yan Yeung
- Division of Gastroenterology and Hepatology, Department of
Pediatrics, MacKay Children’s Hospital, Taipei City,Department of Medicine, MacKay Medical College, New Taipei
City,Department of Medical Research, MacKay Memorial Hospital, Taipei
City
| | - Wai-Tao Chen
- Division of Gastroenterology and Hepatology, Department of
Pediatrics, MacKay Children’s Hospital, Taipei City,Department of Medicine, MacKay Medical College, New Taipei
City
| | - Chuen-Bin Jiang
- Division of Gastroenterology and Hepatology, Department of
Pediatrics, MacKay Children’s Hospital, Taipei City,Department of Medicine, MacKay Medical College, New Taipei
City
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