Cystic pancreatic neoplasm in pregnancy: a case report and review of the literature.
Mucinous cystic neoplasms of the pancreas are rare tumors that tend to occur in young women. They are thought to be responsive to sex hormones. We report a case of a 32-year-old pregnant woman with a 7-month history of pain and a left upper quadrant abdominal mass. She arrived at the emergency department with exacerbation of her symptoms during week 15 of gestation. Findings from ultrasonography and magnetic resonance imaging suggested a pancreatic cyst. Percutaneous aspiration of the cyst fluid yielded mucinous fluid with an elevated carcinoembryonic antigen level. The patient underwent a spleen-preserving distal open pancreatectomy. We present herein a brief review of the current literature on mucinous cystic neoplasms during pregnancy. On the basis of our experience and the existing knowledge of this condition, we advocate resection during the second trimester with splenic preservation.
Wiseman
James E S
JE
Division of Hepatobiliary and Pancreas Surgery, Islet Cell Transplantation, University of California, Irvine Medical Center, 101 The City Dr, Bldg 56, Rte 81, Room 202, Orange, CA 92868, USA.
Yamamoto
Maki
M
Nguyen
Thang D
TD
Bonadio
Jeffrey
J
Imagawa
David K
DK
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology; D000328:Adult; D003536:Cystadenocarcinoma / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000473:pathology / Q000601:surgery*; D010298:Parity; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery*; D011256:Pregnancy Outcome; D011261:Pregnancy Trimester, First; D018570:Risk Assessment; D016216:Ultrasonography, Prenatal