scholarly journals Microcystic Serous Cystadenoma of Pancreas Presenting With Chronic Diarrhea

2018 ◽  
Vol 08 (03) ◽  
pp. 045-049
Author(s):  
Shravya Sudesh Kotian ◽  
Shubha P Bhat ◽  
Rajshekhar Mohan ◽  
Sajitha K.
Keyword(s):  
Imaging Techniques ◽  
Surgical Excision ◽  
Serous Cystadenoma ◽  
The Body ◽  
Cystic Neoplasms ◽  
Large Size ◽  
History Of ◽  
Serous Cystic Neoplasms ◽  
Pancreatic Cystic Neoplasms ◽  
Unnecessary Intervention

AbstractPancreatic cystic neoplasms are increasingly being recognized due to widespread use of advanced imaging techniques. The prevalence of pancreatic cystic lesions is estimated to be between 2.6% - 19.6%. Serous Cystic Neoplasms account for nearly 16% of surgically resected th th pancreatic cystic neoplasms. They commonly occur in females between 5 and 6 decade of life. These tumours are essentially benign and asymptomatic unless they attain a large size. Majority of them occur in the body and tail of pancreas. Malignant transformation is reported in 1%-3% of cases. Surgical excision is the treatment of choice. Thus, it is important to accurately diagnose this lesion to avoid unnecessary intervention in the form of chemotherapy or uncalled for surgical resection. We report a rare case of a 65 year old male who presented with a history of intermittent diarrhea.

scholarly journals Serous Cystadenoma of the Pancreas Presenting as a Third Primary Neoplasm

2003 ◽  
Vol 17 (9) ◽  
pp. 552-554 ◽  
Author(s):  
Aydın Şeref Köksal ◽  
Aysel Ülker ◽  
Mehmet Asıl ◽  
Bilge Tunç ◽  
Arda Kemal ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Previous History ◽  
Serous Cystadenoma ◽  
The Body ◽  
Pathological Examination ◽  
Cystic Neoplasms ◽  
Serous Cystadenomas ◽  
History Of ◽  
Primary Neoplasm ◽  
Other Neoplasms

Serous cystadenomas are the most common cystic neoplasms of the pancreas. They may occur solely or coexist with other neoplasms. A 10 cm mass involving the body of the pancreas was observed in the computed tomography of a 61-year-old man with a previous history of bladder and prostate carcinoma. Ultrasonography and computed tomography of the mass demonstrated multiple small cysts associated with a central calcified scar. A distal pancreatectomy was performed. Pathological examination confirmed the diagnosis of serous microcystic adenoma. This is the first report of a serous cystadenoma of the pancreas with two metachronous neoplasms. This feature should be kept in mind during the diagnosis and evaluation of patients with serous cystadenoma.

scholarly journals An unusual presentation of pancreatic serous cystadenoma

2020 ◽  
Vol 7 (4) ◽  
pp. 1280
Author(s):  
Alexandra O. Stathis ◽  
Samuel C. Kuo
Keyword(s):  
Incidental Finding ◽  
Mass Effect ◽  
Serous Cystadenoma ◽  
Sudden Onset ◽  
Unusual Presentation ◽  
Emergency Laparotomy ◽  
Cystic Neoplasms ◽  
Show Evidence ◽  
Pancreatic Cystic Neoplasms ◽  
Spontaneous Haemorrhage

Pancreatic cystic neoplasms (PCNs) are predominantly benign entities which represent almost 50 percent of all cystic lesions of the pancreas. PCNs are often an incidental finding on abdominal imaging and are not indicated for surgical resection unless they show evidence of malignant transformation or become symptomatic due to mass effect. This report examines an unusual presentation of a PCN, in a 70 years old female with sudden onset abdominal pain, who was found to have spontaneous intraabdominal haemorrhage secondary to a benign PCN. Emergency laparotomy was performed and a distal pancreatectomy or splenectomy were required to achieve haemostasis. Incidence of spontaneous haemorrhage in a benign PCN is a rare but serious complication.

scholarly journals Survival in Cystic Neoplasms of the Pancreas

2009 ◽  
Vol 23 (8) ◽  
pp. 537-542 ◽  
Author(s):  
Ali Cadili ◽  
Amy Bazzerelli ◽  
Sipi Garg ◽  
Robert Bailey
Keyword(s):  
Overall Survival ◽  
Pancreatic Cyst ◽  
Patient Survival ◽  
Survival Rates ◽  
Pancreatic Cysts ◽  
Cystic Neoplasms ◽  
Patient Age ◽  
Patient Âgé ◽  
History Of ◽  
Pancreatic Cystic Neoplasms

BACKGROUND: The natural history of pancreatic cystic neoplasms remains poorly understood despite growing evidence on the subject. Pancreatic cysts display a wide spectrum of pathological phenotypes, each associated with a different prognostic implication. Many pancreatic cysts are of undetermined malignant potential at presentation and remain so until surgically resected. While the survival rates of patients with malignant cysts are known to be poor, survival rates in patients with undetermined pancreatic cysts are unknown.OBJECTIVE: To identify the factors associated with survival in a group of patients diagnosed with a pancreatic cyst(s).METHODS: The present study was a retrospective multicentre review of pancreatic cystic neoplasms. All patients with a diagnosis of a neoplastic pancreatic cyst from 1994 to 2003 were identified at five different institutions in Edmonton, Alberta. The data collected included patient age, sex, imaging modality, cyst location, cyst size, number of cysts, comorbid illnesses, history of upper abdominal surgery, previous cancer, previous or concurrent metastases, symptoms (pain, upper gastrointestinal bleeding, signs of biliary obstruction, nausea/vomiting), remarkable radiological features, elevated amylase or lipase, type of pancreatic surgery, final pathology (benign or malignant) and overall survival. Survival models were used to assess whether any covariates were predictors of the survival time. Patient data were plotted using the Kaplan-Meier method. The resulting plot was used to calculate survival in the cohort.RESULTS: In total, 64 patients were identified as having neoplastic pancreatic cysts from 1994 to 2003 at the five institutions. The median overall patient survival time was 86 months. The median age at diagnosis for the patient population was 73 years, with 40 patients being women. Univariate analysis revealed that the risk of death was associated with patient age, sex and history of major comorbid illness. Multivariate models identified increased patient age and male sex as the factors that correlated most strongly with decreased overall survival.CONCLUSION: Overall survival in patients with neoplastic pancreatic cysts is determined by patient factors (ie, age and sex) rather than factors descriptive of the cyst such as size and morphology. No conclusions could be made regarding the relationship between cyst pathology and patient survival.

Successful excision of a juvenile-type spinal arteriovenous malformation following intraoperative embolization

1991 ◽  
Vol 75 (4) ◽  
pp. 647-651 ◽  
Author(s):  
Hajime Touho ◽  
Jun Karasawa ◽  
Hisashi Shishido ◽  
Keisuke Yamada ◽  
Keiji Shibamoto
Keyword(s):  
Arteriovenous Malformation ◽  
Surgical Excision ◽  
Cervicothoracic Junction ◽  
Content Type ◽  
Spinal Arteriovenous Malformation ◽  
Large Size ◽  
Juvenile Type ◽  
Rapid Flow ◽  
History Of ◽  
Progressive Paraparesis

✓ The case of a 57-year-old woman with a 14-year history of progressive paraparesis is presented. Selective spinal angiography revealed a juvenile-type spinal arteriovenous malformation (AVM) with a typical large size and rapid flow. The AVM was located primarily in the retromedullary space at the cervicothoracic junction. The AVM was successfully obliterated by intraoperative embolization using isobutyl-2-cyanoacrylate and surgical excision.

scholarly journals Natural history of asymptomatic pancreatic cystic neoplasms

HPB ◽  
2013 ◽  
Vol 15 (3) ◽  
pp. 175-181 ◽  
Author(s):  
Gareth Morris‐Stiff ◽  
Gavin A. Falk ◽  
Sricharan Chalikonda ◽  
R. Matthew Walsh
Keyword(s):  
Natural History ◽  
Cystic Neoplasms ◽  
History Of ◽  
Pancreatic Cystic Neoplasms

scholarly journals Case Report: A rapidly growing cyst on the scalp

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 779
Author(s):  
Emma Short ◽  
Aisling O'Shea ◽  
Krishna Mukkanna ◽  
Girish Patel ◽  
Stefan Docjinov ◽  
...  
Keyword(s):  
Surgical Excision ◽  
Skin Lesions ◽  
Hair Follicles ◽  
The Body ◽  
Low Grade ◽  
Outer Root Sheath ◽  
Rare Tumour ◽  
Suspected Infection ◽  
Root Sheath ◽  
History Of

Trichilemmal carcinoma is a rare tumour derived from the outer root sheath of hair follicles.  It can be difficult to distinguish both clinically and histologically from other skin lesions, particularly squamous cell carcinoma.  We present the case of a 62-year-old female with a 20-year history of three 1-cm cysts on her scalp.  Over a six-month period, a cyst overlying the occiput had become painful and grown in size.  The general practitioner and subsequently local emergency department suspected infection.  The lesion was incised, and the patient was treated with oral antibiotics.  At the time of surgical excision, the lesion measured 3 x 4 cm. Microscopic examination identified rounded dermal lobules of squamous epithelium with trichilemmal keratinization, in keeping with a pre-existing pilar cyst.  There were areas with nuclear pleomorphism, mitoses and an infiltrative architecture.  A diagnosis of trichilemmal carcinoma arising in a pilar cyst was made.  Trichilemmal carcinomas are considered to be a low-grade tumour, but they have the potential to spread to lymph nodes and to metastasise to distant sites in the body, therefore adequate excision and appropriate follow-up are required.

scholarly journals A Case of Solitary Fibrous Tumor in the External Auditory Canal

2020 ◽  
Vol 63 (11) ◽  
pp. 523-527
Author(s):  
Kyuha Shin ◽  
Juchang Kang ◽  
Kyewon Kwon ◽  
Yunsuk An
Keyword(s):  
Solitary Fibrous Tumor ◽  
External Auditory Canal ◽  
Neck Region ◽  
Surgical Excision ◽  
The Body ◽  
Head And Neck Region ◽  
Spindle Cell Neoplasm ◽  
Temporal Bone Ct ◽  
History Of ◽  
Fibrous Tumor

Solitary fibrous tumor (SFT) is a rare benign spindle-cell neoplasm, most often found in the pleura. Recently, it has been reported to appear throughout the body but rarely in head and neck region. Tumors in the external auditory canal, in particular, have been very rarely reported. We experienced a case of a 55-year-old male with a 6-month history of progressive swelling from the orifice of left external auditory canal. The tumor was round, well circumscribed, almost completely obstructing the left external auditory canal. On the enhanced temporal bone CT and enhanced paranasal sinus MRI, a 2.0×1.7 cm sized mass was observed at the left external auditory canal. He was treated with surgical excision under general anesthesia. Histopathologic examination confirmed the diagnosis of SFT. This case report presents a rare case of a SFT arising in the external auditory canal.

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