title: Enormous serous microcystic adenoma of the pancreas.
abstract: Serous microcystic adenomas or serous cystadenomas are rare and account for 1-2% of the exocrine neoplasms of the pancreas. Recently, due to the improvements in imaging techniques, they have been identified more frequently. We present the case of a patient in whom a serous microcystic adenoma, 26 cm in diameter, was found incidentally in the pancreas, the largest reported in the literature thus far. Pylorus-preserving pancreaticoduodenectomy was performed, combined with a right hemicolectomy because of the tumor localization. Despite their size, the resection of serous microcystic adenomas, even of that magnitude, is operatively efficient and should always be taken into consideration when examining therapeutic options.
authors.affiliation: Department of General, Visceral and Transplantation Surgery, University Hospital Essen, Essen, Germany. spiridon.vernadakis@uk-essen.de
authors.forename: Spiridon
authors.initials: S
authors.lastname: Vernadakis
authors.forename: Gernot M
authors.initials: GM
authors.lastname: Kaiser
authors.forename: Evangelos
authors.initials: E
authors.lastname: Christodoulou
authors.forename: Zoltan
authors.initials: Z
authors.lastname: Mathe
authors.forename: Michail
authors.initials: M
authors.lastname: Troullinakis
authors.forename: Agnes
authors.initials: A
authors.lastname: Bankfalvi
authors.forename: Andreas
authors.initials: A
authors.lastname: Paul
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D000368:Aged; D005260:Female; D006801:Humans; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D016577:Pancreaticoduodenectomy; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed