Acinar cell cystadenoma of the pancreas in a 9-year-old boy

Journal of Pediatric Surgery
Maureen P McEvoyMichael P La Quaglia

Abstract

This report describes a rare benign cystic lesion of the pancreas known as acinar cell cystadenoma. There are 12 previously reported cases, the youngest patient from which was age 16. We report the youngest case to date, occurring in a 9-year-old boy. The pancreatic lesion was found incidentally and confirmed by laparoscopic biopsy. A pseudocyst formed, which was drained endoscopically. Given that the lesion was benign and the patient was asymptomatic, no further intervention was recommended. Complete resection would require a total pancreatectomy, with attendant morbidity, and review of the literature suggests a benign course. In asymptomatic cases, we recommend biopsy for histologic diagnosis, with close follow-up and without further surgical intervention.

References

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Apr 1, 1989·Journal of Clinical Pathology·G KocjanW R Lees
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May 23, 2002·The American Journal of Surgical Pathology·Giuseppe ZamboniGünter Klöppel
Aug 7, 2002·American Journal of Clinical Pathology·Denis ChatelainJean-François Flejou

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Citations

Apr 23, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Andrea M WolfHarish Lavu
Jun 1, 2011·Surgical Pathology Clinics·Alyssa M Krasinskas
Feb 15, 2013·Cancer Cytopathology·Carlie S Sigel, David S Klimstra
Apr 18, 2016·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Gang WangBei Sun
Aug 16, 2011·Human Pathology·Anna PesciGiuseppe Zamboni
May 17, 2013·World Journal of Gastrointestinal Endoscopy·Paola De AngelisLuigi Dall'oglio
Oct 13, 2012·The American Journal of Surgical Pathology·Tze S KhorVikram Deshpande
Jan 1, 2016·Case Reports in Pancreatic Cancer·Natalie CosgroveThomas Kowalski

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