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Case Report
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| Unusual case of a giant serous oligocystic adenoma with communication to main pancreatic duct | ||||||
| Ruquaya Mir1, Vikram Pratap Singh1 | ||||||
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1Senior Consultant Oncology, Indraprastha Apollo Hospitals, New Delhi, India.
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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. |
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Abstract
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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.).
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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 |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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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. |
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About The Authors
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