Table of Contents    
Case Report
 
Unusual case of a giant serous oligocystic adenoma with communication to main pancreatic duct
Ruquaya Mir1, Vikram Pratap Singh1
1Senior Consultant Oncology, Indraprastha Apollo Hospitals, New Delhi, India.

Article ID: 100023IJHPDRM2014
doi:10.5348/ijhpd-2014-23-CR-11

Address correspondence to:
Ruquaya Mir
Senior Consultant Oncology, Indraprastha Apollo Hospitals
New Delhi
India
Email: ruquaya.mir@hotmail.com

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How to cite this article:
Mir R, Singh VP. Unusual case of a giant serous oligocystic adenoma with communication to main pancreatic duct. Int J Hepatobiliary Pancreat Dis 2014;4:57–61.


Abstract
Benign serous cystic tumors of the pancreas are rare and include microcystic serous adenoma, serous oligocystic adenoma (SOA), ill-demarcated adenoma, and macrocystic serous cystadenoma. Microcystic serous adenoma usually present are either unilocular cyst or single lesion containing fewer cysts of more than 2 cm in diameter. It is a rare tumor which usually varies from 2–10 cm in size and at times difficult to differentiate from mucinous cyst. With firm diagnosis small asymptomatic SOAs could be managed without surgery. We describe here a case of middle aged male with a giant serous oligocystic adenoma of 15 cm size arising from head of pancreas producing pressure symptoms. Endoscopic ultrasound and cyst fluid tumor markers were suggestive of serous cystadenoma, computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) scan were indicative of mucinous adenoma showing unilocular cyst with dilated common bile duct (CBD), main pancreatic duct (MPD) and communication of cyst with main pancreatic duct. A pancreaticoduodenectomy was done. Histopathology reported the lesion as serous oligocystic adenoma. We are presenting this case due to unusual features, a large unilocular cyst of more than 15 cm in size presented with waxing/waning of surgical obstructive jaundice and on MRCP there was a communication of cyst with MPD with cyst wall thickness of 1 cm (approx.).

Keywords: Common bile duct (CBD), Giant serous oligocystic adenoma, Jaundice, Magnetic resonance cholangiopancreatography (MRCP), Main pancreatic duct (MPD), Ttreatment


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Author Contributions
Ruquaya Mir – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Vikram Pratap Singh – Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2014 Ruquaya Mir et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Ruquaya Mir is Senior Consultant Surgical Oncology Indraprastha Apollo Hospitals, New Delhi, India. She earned the undergraduate degree MBBS, DNB from Kashmir University, J&K, India and postgraduate degree Diplomate National Board from National Board Examination, New Delhi India. She has published 10 research papers in national and international academic journals and authored books. Her research interests include Pancreatic Cancer, Oesophageal cancer, Head & Neck Cancer. She intends to pursue in future.



Vikram Pratap Singh is Senior Consultant Surgical Oncology at Indraprastha Apollo Hospitals, New Delhi India. He earned the undergraduate degree MBBS, MS, FRCS from University of Lucknow, UP, India and postgraduate degree from King George Medical College, University of Lucknow, UP, India, FRCS from Glasgow. He has published 32 research papers in national and international academic journals and authored books. His research interests include Pancreatic Cancer, Head & Neck Cancer, Oesophageal Cancer. He intends to pursue in future.