Mucinous Cystic Pancreatic Neoplasm in a Splenectomized Patient: A Case Report
Pancreatic MCN in a Splenectomized Patient: A Case Report
Keywords:
pancreatic neoplasms, pancreatic cyst, pancreatic diseasesAbstract
Cystic neoplasms of the pancreas are a group of pathologies ranging from benign to malignant lesions. Mucinous cystic neoplasm (MCN) of the pancreas comprises rare cysts with malignant potential that typically occur in the body or tail of the pancreas in perimenopausal women. We report a case of an MCN in a patient with complaints of weight loss and dyspeptic symptoms, as this is the first case report in the literature of MCN with a history of previous emergency splenectomy due to blunt trauma.
References
Abraham AS, Simon B, Eapen A, Sathyakumar K, Chandramohan A, Raju RS, et al. Role of Cross-sectional Imaging (CT/MRI) in Characterization and Distinguishing Benign from Malignant/Potentially Malignant Cystic Lesions of Pancreas. J Clin Imaging Sci 2020;10:28. https://doi.org/10.25259/JCIS_15_2020.
Le O, Rovira JJI. Cystic Pancreatic Lesions: A Review of Diagnosis and Management. Journal of Gastrointestinal and Abdominal Radiology 2020;3:035–9. https://doi.org/10.1055/s-0040-1708107.
Reddy R. Giant mucinous cystadenoma of the pancreas in a young female. Digital Medicine 2023;9:4. https://doi.org/10.4103/digm.digm_29_22.
Pezzilli R, Buscarini E, Pollini T, Bonamini D, Marchegiani G, Crippa S, et al. Epidemiology, clinical features and diagnostic work-up of cystic neoplasms of the pancreas: Interim analysis of the prospective PANCY survey. Dig Liver Dis 2020;52:547–54. https://doi.org/10.1016/j.dld.2020.02.003.
Yang J, Guo X, Zhang H, Zhang W, Song J, Xu H, et al. Differential diagnosis of pancreatic serous cystadenoma and mucinous cystadenoma: utility of textural features in combination with morphological characteristics. BMC Cancer 2019;19:1223. https://doi.org/10.1186/s12885-019-6421-7.
Postlewait LM, Ethun CG, McInnis MR, Merchant N, Parikh A, Idrees K, et al. Association of Preoperative Risk Factors With Malignancy in Pancreatic Mucinous Cystic Neoplasms: A Multicenter Study. JAMA Surg 2017;152:19–25. https://doi.org/10.1001/jamasurg.2016.3598.
Ketwaroo GA, Mortele KJ, Sawhney MS. Pancreatic Cystic Neoplasms: An Update. Gastroenterol Clin North Am 2016;45:67–81. https://doi.org/10.1016/j.gtc.2015.10.006.
Compagno J, Oertel JE. Mucinous cystic neoplasms of the pancreas with overt and latent malignancy (cystadenocarcinoma and cystadenoma). A clinicopathologic study of 41 cases. Am J Clin Pathol 1978;69:573–80. https://doi.org/10.1093/ajcp/69.6.573.
Garcea G, Ong SL, Rajesh A, Neal CP, Pollard CA, Berry DP, et al. Cystic lesions of the pancreas. A diagnostic and management dilemma. Pancreatology 2008;8:236–51. https://doi.org/10.1159/000134279.
Mamone G, Barresi L, Tropea A, Di Piazza A, Miraglia R. MRI of mucinous pancreatic cystic lesions: a new updated morphological approach for the differential diagnosis. Updates Surg 2020;72:617–37. https://doi.org/10.1007/s13304-020-00800-y.
Kim YH, Saini S, Sahani D, Hahn PF, Mueller PR, Auh YH. Imaging diagnosis of cystic pancreatic lesions: pseudocyst versus nonpseudocyst. Radiographics 2005;25:671–85. https://doi.org/10.1148/rg.253045104.
Buch M, Bonini L, Aparicio DPS, Artifon ELA. [Prancreatic cystic lesions]. GED gastroenterol endosc dig 2013;32:111–9.
Tanaka M, Fernández-del Castillo C, Adsay V, Chari S, Falconi M, Jang J-Y, et al. International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology 2012;12:183–97. https://doi.org/10.1016/j.pan.2012.04.004.
Vege SS, Ziring B, Jain R, Moayyedi P, Clinical Guidelines Committee, American Gastroenterology Association. American gastroenterological association institute guideline on the diagnosis and management of asymptomatic neoplastic pancreatic cysts. Gastroenterology 2015;148:819–22; quize12-13. https://doi.org/10.1053/j.gastro.2015.01.015.
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Copyright (c) 2023 Diego A.G. da Silva, Ana V.B. de Amorim, Olga L.L. Veloso, Sara P.G. Torreão, Mariana G. Silveira, Péricles J.C. de Oliveira, José P.W. Ramalho
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