Pancreatic cystic lesion (PCL) is a relatively low incidence of pancreatic disease. No clinical symptoms of PCL prevalence rate is 2.4% ~ 13.5% and has a tendency to increase with the increase of age. With the development of modern imaging technology and the improvement of people health consciousness, there has been a dramatic increase in the prevalence of PCL. PCLs involving a wide range of pathology can range from obviously benign to borderline malignant potential lesions to overt malignancy. Pancreatic cystadenocarcinoma belongs to one of the malignant tumor of PCLs, may be malignant from pancreatic cystadenoma, and it is clinically rare, accounting for only 1% of the malignant tumors of the pancreas. Preoperative diagnosis is difficult of the disease, it mostly need to postoperative pathological diagnosis. The main symptoms of pancreatic cystadenocarcinoma are dull pain or low back pain in the upper and middle abdomen, and mass in the upper abdomen. Abdominal pain is not intense, some patients only for the feeling of fullness discomfort. Other symptoms may include loss of appetite, nausea, indigestion, weight loss, jaundice, and in a few patients, gastrointestinal bleeding. In this paper, we report a rare case of pancreatic cystadenocarcinoma with a huge cystic lesion that grows rapidly in a short period of time in pregnant women, which preoperative diagnosis is considered pancreatic cystadenoma in the preoperative. Complete resection was performed and histological examination confirmed the diagnosis of pancreatic cystadenocarcinoma.
| Published in | American Journal of Internal Medicine (Volume 9, Issue 4) |
| DOI | 10.11648/j.ajim.20210904.15 |
| Page(s) | 194-197 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Pancreatic Cystic Lesion, Pancreatic Cystadenocarcinoma, Pancreatic Cystadenoma, Pancreatic Cystic Neoplasm
| [1] | Bai XL, Zhang Q, Masood N, et al. Pancreatic cystic neoplasms: a review of preoperative diagnosis and management. J Zhejiang Univ Sci B, 2013, 14 (3): 185-194. |
| [2] | Reichermeier KM, Caselitz M, Wagner S. An unusual case of a pancreatic cyst. Gastroenterology. 2014; 147: e1-2. |
| [3] | Hackert T, Büchler MW. Cystic tumors of the pancreas. Chirurg. 2017; 88 (11): 903-904. |
| [4] | Chu LC, Singhi AD, Haroun RR, et al. The many faces of pancreatic serous cystadenoma: Radiologic and pathologic correlation [J]. Diagn Interv Imaging, 2017, 98 (3): 191-202. |
| [5] | Jais B, Rebours V, Malleo G, et al. Serous cystic neoplasm of the pancreas: a multinational study of 2622 patients under the auspices of the international association of pancreatology and european pancreatic club (european study group on cystic tumors of the pancreas). Gut, 2016, 65 (2): 305-312. |
| [6] | European Study Group on Cystic Tumours of the Pancreas. European evidence-based guidelines on pancreatic cystic neoplasms. Gut, 2018, 67 (5): 789-804. |
| [7] | Doulamis IP, Mylonas KS, Kalfountzos CE, et al. Pancreatic mucinous cystadenocarcinoma: Epidemiology and outcomes. Int J Surg, 2016, 35: 76-82. |
| [8] | Sainani NI, Saokar A, Deshpande V, et al. Comparative performance of MDCT and MRI with MR cholangiopancreatography in characterizing small pancreatic cysts. Am J Roentgenol, 2009, 193 (3): 722-731. |
| [9] | Visser BC, Muthusamy VR, Yeh BM, et al. Diagnostic evaluation of cystic pancreatic lesions. HPB (Oxford), 2008, 10 (1): 63-69. |
| [10] | Song SJ, Lee JM, Kim YJ, et al. Differentiation of intraductal papillary mucinous neoplasms from other pancreatic cystic masses: comparison of multirow-detector CT and MR imaging using ROC analysis. J Magn Reson Imaging, 2007, 26 (1): 86-93. |
| [11] | Jang DK, Song BJ, Ryu JK, et al. Preoperative diagnosis of pancreatic cystic lesions: the accuracy of endoscopic ultrasound and cross-sectional imaging. Pancreas, 2015, 44 (8): 1329-1333. |
| [12] | Lee HJ, Kim MJ, Choi JY, et al. Relative accuracy of CT and MRI in the differentiation of benign from malignant pancreatic cystic lesions. Clin Radiol, 2011, 66 (4): 315-321. |
| [13] | Elta GH, Enestvedt BK, Sauer BG, et al. ACG clinical guideline: diagnosis and management of pancreatic cysts. Am J Gastroenterol, 2018, 113 (4): 464-479. |
| [14] | Tirkes T, Aisen AM, Cramer HM, et al. Cystic neoplasms of the pancreas; findings on magnetic resonance imaging with pathological, surgical, and clinical correlation. Abdom Imaging, 2014, 39 (5): 1088-1101. |
APA Style
Han Li, Dongdong Ji, Chenglong Guo, Xuewen Wang, Xingyuan Zhang, et al. (2021). Atypical Pancreatic Cystadenocarcinoma in Pregnant Women: A Case Report. American Journal of Internal Medicine, 9(4), 194-197. https://doi.org/10.11648/j.ajim.20210904.15
ACS Style
Han Li; Dongdong Ji; Chenglong Guo; Xuewen Wang; Xingyuan Zhang, et al. Atypical Pancreatic Cystadenocarcinoma in Pregnant Women: A Case Report. Am. J. Intern. Med. 2021, 9(4), 194-197. doi: 10.11648/j.ajim.20210904.15
AMA Style
Han Li, Dongdong Ji, Chenglong Guo, Xuewen Wang, Xingyuan Zhang, et al. Atypical Pancreatic Cystadenocarcinoma in Pregnant Women: A Case Report. Am J Intern Med. 2021;9(4):194-197. doi: 10.11648/j.ajim.20210904.15
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.ajim.20210904.15,
author = {Han Li and Dongdong Ji and Chenglong Guo and Xuewen Wang and Xingyuan Zhang and Lingqun Kong},
title = {Atypical Pancreatic Cystadenocarcinoma in Pregnant Women: A Case Report},
journal = {American Journal of Internal Medicine},
volume = {9},
number = {4},
pages = {194-197},
doi = {10.11648/j.ajim.20210904.15},
url = {https://doi.org/10.11648/j.ajim.20210904.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20210904.15},
abstract = {Pancreatic cystic lesion (PCL) is a relatively low incidence of pancreatic disease. No clinical symptoms of PCL prevalence rate is 2.4% ~ 13.5% and has a tendency to increase with the increase of age. With the development of modern imaging technology and the improvement of people health consciousness, there has been a dramatic increase in the prevalence of PCL. PCLs involving a wide range of pathology can range from obviously benign to borderline malignant potential lesions to overt malignancy. Pancreatic cystadenocarcinoma belongs to one of the malignant tumor of PCLs, may be malignant from pancreatic cystadenoma, and it is clinically rare, accounting for only 1% of the malignant tumors of the pancreas. Preoperative diagnosis is difficult of the disease, it mostly need to postoperative pathological diagnosis. The main symptoms of pancreatic cystadenocarcinoma are dull pain or low back pain in the upper and middle abdomen, and mass in the upper abdomen. Abdominal pain is not intense, some patients only for the feeling of fullness discomfort. Other symptoms may include loss of appetite, nausea, indigestion, weight loss, jaundice, and in a few patients, gastrointestinal bleeding. In this paper, we report a rare case of pancreatic cystadenocarcinoma with a huge cystic lesion that grows rapidly in a short period of time in pregnant women, which preoperative diagnosis is considered pancreatic cystadenoma in the preoperative. Complete resection was performed and histological examination confirmed the diagnosis of pancreatic cystadenocarcinoma.},
year = {2021}
}
TY - JOUR T1 - Atypical Pancreatic Cystadenocarcinoma in Pregnant Women: A Case Report AU - Han Li AU - Dongdong Ji AU - Chenglong Guo AU - Xuewen Wang AU - Xingyuan Zhang AU - Lingqun Kong Y1 - 2021/07/29 PY - 2021 N1 - https://doi.org/10.11648/j.ajim.20210904.15 DO - 10.11648/j.ajim.20210904.15 T2 - American Journal of Internal Medicine JF - American Journal of Internal Medicine JO - American Journal of Internal Medicine SP - 194 EP - 197 PB - Science Publishing Group SN - 2330-4324 UR - https://doi.org/10.11648/j.ajim.20210904.15 AB - Pancreatic cystic lesion (PCL) is a relatively low incidence of pancreatic disease. No clinical symptoms of PCL prevalence rate is 2.4% ~ 13.5% and has a tendency to increase with the increase of age. With the development of modern imaging technology and the improvement of people health consciousness, there has been a dramatic increase in the prevalence of PCL. PCLs involving a wide range of pathology can range from obviously benign to borderline malignant potential lesions to overt malignancy. Pancreatic cystadenocarcinoma belongs to one of the malignant tumor of PCLs, may be malignant from pancreatic cystadenoma, and it is clinically rare, accounting for only 1% of the malignant tumors of the pancreas. Preoperative diagnosis is difficult of the disease, it mostly need to postoperative pathological diagnosis. The main symptoms of pancreatic cystadenocarcinoma are dull pain or low back pain in the upper and middle abdomen, and mass in the upper abdomen. Abdominal pain is not intense, some patients only for the feeling of fullness discomfort. Other symptoms may include loss of appetite, nausea, indigestion, weight loss, jaundice, and in a few patients, gastrointestinal bleeding. In this paper, we report a rare case of pancreatic cystadenocarcinoma with a huge cystic lesion that grows rapidly in a short period of time in pregnant women, which preoperative diagnosis is considered pancreatic cystadenoma in the preoperative. Complete resection was performed and histological examination confirmed the diagnosis of pancreatic cystadenocarcinoma. VL - 9 IS - 4 ER -
Email: