Pancreatic cyst as a sentinel of in situ carcinoma of the pancreas. Report of two cases

International Journal of Pancreatology : Official Journal of the International Association of Pancreatology
K YamaguchiM Tanaka

Abstract

We would like to recommend detailed examination of the pancreas including cytology of the pancreatic juice in patients with pancreatic cyst to find possible concomitant early pancreatic carcinoma. Further study is necessary to determine whether there is a rational relationship between mucinous cystadenoma of the pancreas and pancreatic adenocarcinoma. Two cases of in situ carcinoma of the pancreas first detected with pancreatic cyst as a diagnostic clue are reported. Cytologic examination of the pancreatic juice was positive for malignancy in both cases, and pancreatic cyst and in situ carcinoma were located independently. Case 1: Ultrasonography (US) and computed tomography (CT) in a 54-yr-old Japanese man with a known gastric cancer revealed a pancreatic cyst. Endoscopic retrograde cholangiopancreatography (ERCP) showed a cyst in the tail of the pancreas, and cytology of the pure pancreatic juice revealed adenocarcinoma. Intraoperatively, the pancreas was cut along the portal vein, and cytology of the pancreatic juice from the pancreas distal to the cutting line showed adenocarcinoma. Resection of the body and tail of the pancreas was performed together with total gastrectomy. Histopathologically, the cyst was mucinous cystad...Continue Reading

References

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Citations

Nov 13, 2019·Khirurgiia·V I PanteleevA G Kriger
Jan 8, 2011·Nature Reviews. Gastroenterology & Hepatology·Masao Tanaka
Apr 8, 2011·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Koji Yamaguchi
Mar 15, 2011·Surgical Oncology·George H SakorafasMichael G Sarr

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