Pancreatic serous cystadenoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Work up for abdominal pain.

Patient Data

Age: 55 years
Gender: Female

A 50×40 mm septated cystic lesion with lobulated margin and internal calcified foci is noted at proximal of the pancreas causing distal pancreatic parenchymal atrophic changes and mild duct dilatation. No enhancing solid component is stated within. 

An 18×12 mm hypervascular mass with persistent enhancement is noted at segment VII of the liver, most consistent with flash type hemangioma.

The gallbladder contains several stones less than 35 mm.

The uterus contains several small fibroids. 

Case Discussion

The patient underwent endoscopic ultrasonography and FNA then total mass resection was performed. Histopathology findings confirm pancreatic serous cystadenoma, which is an uncommon type of benign cystic pancreatic neoplasm. 

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