Mucinous cystadenoma: pitfalls of differential diagnosis.
Cystic neoplasms of the pancreas often are difficult to differentiate from pseudocysts. It has been proposed that a history of clinical pancreatitis, elevated serum pancreatic enzymes, elevated cyst fluid amylase, and a communication with the pancreatic duct suggest the diagnosis of a pseudocyst. We report the case of a young woman who presented with a cystic mass in the pancreas and was thought to have a pseudocyst because of the above; at surgery, a mucinous cystadenoma was documented. The pitfalls of differentiating neoplastic cysts of the pancreas from pseudocysts are discussed.
Sachs
J R
JR
Department of Gastroenterology and Nutrition, Graduate Hospital, Philadelphia, Pennsylvania.
Deren
J J
JJ
Sohn
M
M
Nusbaum
M
M
D000681:Amylases / Q000378:metabolism; D003537:Cystadenoma / Q000175:diagnosis* / Q000201:enzymology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007527:Isoenzymes / Q000378:metabolism; D010181:Pancreatic Cyst / Q000175:diagnosis*; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000201:enzymology; D010192:Pancreatic Pseudocyst / Q000175:diagnosis* / Q000201:enzymology
D007527:Isoenzymes; D000681:Amylases