Pancreatic Microcystic Adenoma Coexistent with Pancreatic Ductal Carcinoma

Serous Cystadenoma of the Pancreas: Clinical and Pathological Features in 33 Patients

“…A more recent large study [25] found that 47% of the patients were asymptomatic, probably attributable to more sensitive imaging studies and earlier detection. The associations of serous cystadenoma with diabetes mellitus, colon carcinoma, pancreatic carcinoma, cholelithiasis, pancreatitis, ovarian cysts, and hepatic or renal cysts seen in our patients are similar to those described in the literature, and may be coincidental [5,10,16,17,[26][27][28] . Initial abdominal CT scans performed in 25 of our patients were interpreted as suspicious for malignancy in 8 patients (32%), suspicious for serous cystadenoma in 8 patients, mass indeterminate for malignancy in 8 patients, and pseudocyst in 1 patient.…”

Microcystic adenoma of the pancreas

“…4 There are rare reports of malignant counterparts of MCA 27,28 as well as a patient with coexisting MCA and pancreatic ductal carcinoma. 29 Cystic neoplasms of the pancreas may be associated with von Hippel-Lindau disease, as was seen in one of the patients in this series. 30 It is important to be able to render a precise diagnosis of MCA, so that patients who are asymptomatic or who have potential surgical risks can be spared extensive resection procedures.…”

Preoperative Fine Needle Aspiration Cytology Diagnosis of Microcystic Adenoma of the Pancreas: Fact or Fiction?

“…1,6,8,9 Rarely does this tumor transform to a malignancy, although it may be associated with pancreatic duct adenocarcinoma. 10 The lesion itself tends to be discovered secondary to compressive symptoms such as gastrointestinal or biliary tract obstruction or incidentally on radiologic examinations. Patients with pancreatic microcystic adenomas tend to be older women and commonly present with symptoms of an abdominal mass, weight loss or pain.…”