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Case Reports
. 2014 Oct 16:12:318.
doi: 10.1186/1477-7819-12-318.

A rare case of mixed mucinous cystadenoma with serous cystadenoma of the pancreas treated by laparoscopic central pancreatectomy

Ren-chao Zhang, Xiao-wu Xu, Yu-cheng Zhou, Di Wu, Harsha Ajoodhea, Ke Chen, Yi-ping Mou  1
Affiliations
Case Reports

A rare case of mixed mucinous cystadenoma with serous cystadenoma of the pancreas treated by laparoscopic central pancreatectomy

Ren-chao Zhang et al. World J Surg Oncol. .

Abstract

Mixed mucinous cystadenoma with serous cystadenoma of the pancreas is rare. There have been only two previous case reports in the English-language literature. We present a case of a 46-year-old woman who was diagnosed with mixed mucinous cystadenoma with serous cystadenoma of the pancreas. Computed tomography and magnetic resonance imaging showed a cystic neoplasm in the dorsal/proximal body of the pancreas with a clear-margin multilocular cavity and enhanced internal septum. The patient underwent laparoscopic central pancreatectomy. The diagnosis of mixed mucinous cystadenoma with serous cystadenoma of the pancreas was confirmed by pathological examination. The patient was followed up for 3 months and there were no signs of recurrence, or pancreatic exocrine or endocrine insufficiency. To the best of our knowledge, this is the first reported case treated by laparoscopic central pancreatectomy.

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Figures

Figure 1
Figure 1
Computed tomography scan showing a 10 × 14-mm cystic neoplasm (arrow) in the proximal body of the pancreas.
Figure 2
Figure 2
Magnetic resonance imaging. There is a 10 × 14-mm cystic neoplasm (arrow) in the proximal body of the pancreas with a clear-margin multilocular cavity and enhanced internal septum.
Figure 3
Figure 3
The location of the trocars.
Figure 4
Figure 4
Laparoscopic central pancreatectomy. (A) Mobilizing the superior border of the pancreas. (B) Mobilizing the inferior border and back of the pancreas. (C) Transecting with a 60-mm linear stapler on the right side of the lesion. (D) Transecting the distal pancreas. (E) View after the central pancreatectomy. (F) Suturing the jejunal serosa to the posterior capsule of the pancreas. (G) Suturing the full thickness of the jejunum to the pancreas (parenchyma and capsule). (H) Final view after reconstruction. CHA, common hepatic artery; CS, cephalic stump; DP, distal pancreas; GDA, gastroduodenal artery; J, jejunum; P, pancreas; PJ, pancreaticojejunostomy; PV, portal vein; SA, splenic artery; SMV, superior mesenteric venous; SV, splenic vein.
Figure 5
Figure 5
Resected specimen of the mixed mucinous cystadenoma with serous cystadenoma of the pancreas.
Figure 6
Figure 6
Histological features of the mixed mucinous cystadenoma with serous cystadenoma of the pancreas. The arrowhead indicates the mucous columnar epithelium and the arrow indicates the cuboidal epithelium. (A) H & E stain, ×100. (B) H & E stain, ×400. Scale bars: 100 μm.
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