title: Pancreatic serous cystadenoma with compression of the main pancreatic duct: an unusual entity.
abstract: Serous cystadenoma is a common benign neoplasm that can be managed without surgery in asymptomatic patients provided that the diagnosis is certain. We describe a patient, whose pancreatic cyst exhibited a radiological appearance distinct from that of typical serous cystadenoma, resulting in diagnostic difficulties. CT and MRI showed a 10 cm-polycystic tumor with upstream dilatation of the main pancreatic duct (MPD), suggestive of intraductal papillary mucinous tumor (IPMT). Ultrasonographic aspect and EUS-guided fine-needle aspiration gave arguments for serous cystadenoma. ERCP showed a communication between cysts and the dilated MPD, compatible with IPMT. The patient underwent left pancreatectomy with splenectomy. Pathological examination concluded in a serous cystadenoma, with only a ductal obstruction causing proximal dilatation.
authors: Department of Digestive Surgery and Transplantation, CHU, University of Lille-Nord de France, 59000 Lille, France. steph_truant@yahoo.fr
authors: Stéphanie
authors: S
authors: Truant
authors: D
authors: D
authors: Izgarevic
authors: Vincent
authors: V
authors: Maunoury
authors: David
authors: D
authors: Buob
authors: Philippe
authors: P
authors: Bulois
authors: Olivier
authors: O
authors: Ernst
authors: Guillemette
authors: G
authors: Huet
authors: Philippe
authors: P
authors: Zerbib
authors: François-René
authors: FR
authors: Pruvot