doiSerbia

Microcystic adenoma of the pancreas

Čolović Radoje B. (Institut za bolesti digestivnog sistema Kliničkog centra Srbije, Beograd)
Grubor Nikica M. (Institut za bolesti digestivnog sistema Kliničkog centra Srbije, Beograd)
Micev Marjan (Institut za bolesti digestivnog sistema Kliničkog centra Srbije, Beograd)
Čolović Nataša (Institut za bolesti digestivnog sistema Kliničkog centra Srbije, Beograd)
Milosavljević Tomica (Institut za bolesti digestivnog sistema Kliničkog centra Srbije, Beograd)

Microcystic adenoma of the pancreas is a rare benign tumour of the pancreas without malignant potential which usually appears in older women. Pain weight loss, palpable mass and jaundice (if the tumor is localized in the head of the pancreas) are the main symptoms. Thanks to the modern imaging techniques (US, CT, FNB) the tumor is discovered and with rising frequency exactly preoperatively diagnosed. Surgical excision is the treatment of choice. In risk patients without symptoms surgery is not necessary but patients have to be regularly followed-up. The authors present a 70-year old woman in whom, because of constant epigastric pain, a multicystic mass of the pancreatic body, 58 x 40 mm in diameter, was discovered and removed by distal pancreatectomy. The spleen could not be saved. Histologic examination showed a microcystic adenoma. Three years after surgery the patient is symptom-free with normal ultra-sonographic findings.

Keywords: pancreas, microcystic adenoma