title: Giant pancreatic incidentaloma: Report of a case and literature review.
abstract: BACKGROUND
  Asymptomatic lesions of the pancreas, referred to as 'incidentalomas', have appeared with increased frequency in recent years. Giant incidentalomas have rarely been reported in the literature.
  
  
  METHODS
  We report herein a rare case of a giant cystic pancreatic incidentaloma measuring 12.7cm×8cm, which was found in an otherwise healthy male patient during a routine genitourinary imaging work-up. The patient underwent a distal pancreatectomy and splenectomy; the pathology report demonstrated a giant serous cystadenoma of the body and tail of the pancreas.
  
  
  CONCLUSIONS
  The management of pancreatic incidentalomas is challenging. While solid lesions almost always warrant surgery, there is ongoing debate concerning the management of cystic lesions that are found incidentally in the pancreas and have no clinical manifestations.
  
  
  CONCLUSIONS
  We report herein an interesting case of a voluminous incidental cystic pancreatic lesion. The appropriate approach and the decision whether to operate or not in such cases can be puzzling to the physician.
authors.affiliation: 2nd Propedeutic Department of Surgery, Athens University Medical School, Laikon General Hospital, Athens Medical School, Athens, Greece.
authors.forename: Petros
authors.initials: P
authors.lastname: Charalampoudis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Dimitroulis
authors.forename: Eleftherios
authors.initials: E
authors.lastname: Spartalis
authors.forename: Chrysovalantis
authors.initials: C
authors.lastname: Vergadis
authors.forename: Anastasios
authors.initials: A
authors.lastname: Stofas
authors.forename: Theodore
authors.initials: T
authors.lastname: Karatzas