15 August 2022: Articles
Degenerated Serous Cystic Tumor of the Pancreas: Case Report and Literature Review of an Aggressive Presentation of a Benign Tumor
Challenging differential diagnosis, Rare coexistence of disease or pathology
Xenofon Papazarkadas A , Eleftherios Gialamas A* , Galab M. Hassan A , Roland Chautems B , Aurelie Bornand A , Giacomo Puppa A , Christian Toso ADOI: 10.12659/AJCR.936165
Am J Case Rep 2022; 23:e936165
Table 1. Studies involving degenerated serous cystadenomas of the pancreas and selected treatment.
| Author/Year | Symptoms/signs | Localization | Malignant feature(s) | Surgical treatment | Outcome |
|---|---|---|---|---|---|
| Kameh et al, 1991 []11 | Jaundice | Head | Focal perineural invasion | Total pancreatectomy | Not disclosed |
| Ohta et al, 1993 []12 | Incidental finding | Body | Vascular and perivascular invasion | Enucleation | Cured |
| Widmaier et al, 1996 []13 | Abnormal liver tests | Head | Lymph node metastasis | Pylorus-preserving partial duodenopancreatectomy | Cured |
| Abe et al, 1998 [14] | Palpable mass at the left hypochondrium | Body and tail | Lymph node invasion | Distal pancreatectomy with splenectomy | Cured |
| Friebe et al, 2005 [15] | Anorexia, weight loss, abdominal pain | Body and tail | Spleen invasion | Distal pancreatectomy with splenectomy | Cured |
| Matsumoto et al, 2005 [16] | Palpable mass at the left hypochondrium | Tail | Spleen and colonic mesentery invasion, Single lymph node metastasis | Distal pancreatectomy, splenectomy, and segmental resection of the colon | Cured |
| Shintaku et al, 2005 [17] | Fatigue and diarrhea | Body and tail | Spleen and neural invasion | Distal gastrectomy, distal pancreatectomy with splenectomy | Not disclosed |
| King et al, 2009 [18] | Gastric bleeding and abdominal pain | Head | Duodenal invasion | Pancreaticoduodenectomy | Cured |
| Cho et al, 2011 [19] | Hematochezia | Tail | Spleen and transverse colon invasion | Distal pancreatectomy, splenectomy, and segmental resection of the colon | Not disclosed |
| Kadhirvel et al, 2015 [20] | Abdominal pain | Body and tail | Spleen invasion by contiguity | Distal pancreatectomy with splenectomy | Not disclosed |
| Gao et al, 2016 [21] | Back pain | Body | Spleen vein encasement | Distal pancreatectomy and splenectomy | Not disclosed |
| Kawai et al, 2020 [22] | Palpable mass at the left hypochondrium | Head | Superior mesenteric vein invasion | Pancreaticoduodenectomy with resection of limited superior mesenteric vein | Liver and peritoneal metastases after 4 years |
| Yagi et al, 2020 [23] | Diabetes mellitus | Tail | Spleen invasion | Laparoscopic distal pancreatectomy with splenectomy | Cured |