An IPMN Inside a Serous Cystadenoma: Is That Possible?
|Marinos C Makris1-3*, Nikolaos M Kourkounakis1, Ioannis F Karoumpalis4, Konstantinos C Koumarelas1, Apostolos S Mitrousias4, Michael Kornaropoulos4, Dimitris Katsogiannos4 and Evripides C Yettimis1|
|1Surgical Department of General Hospital of Athens G. Gennimatas, Athens, Greece|
|2Alpha Institute of Biomedical Sciences (AIBS), Marousi, Greece|
|3Department of Surgery and Cancer - St Mary’s Hospital, Imperial College of London, UK|
|4Department of Gastrentrerology, General Hospital of Athens G. Gennimatas, Athens, Greece|
|Corresponding Author :||Marinos Makris, MD, MSc DIC
Surgical Department of General Hospital of Athens
G. Gennimatas, Athens, Greece
Tel: +30 (693) 3386257
Fax: +30 (210) 7768-495
E-mail: [email protected]
|Received February 05, 2014; Accepted March 20, 2014; Published March 27, 2014|
|Citation: Makris MC, Kourkounakis NM, Karoumpalis IF, Koumarelas KC, Mitrousias AS, et al. (2014) An IPMN Inside a Serous Cystadenoma: Is That Possible? Pancreat Disord Ther 4:129. doi:10.4172/2165-7092.1000129|
|Copyright: © 2014 Makris MC, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Abstract Objectives: Although rare, the pancreatic cystic neoplasms are detected with increased frequency lately. The treatment of these modalities however remains controversial. Methods: In this case reports a multifocal Intraductal Papillary Mucinous Neoplasm (IPMN) along with Pancreatic Serous Cystadenoma (PSC) were identified in the pancreatic specimen following a distal pancreatectomy. The results of the histopathology confirmed the existence of an IPMN inside a large PSC. Results: In our case, the patient with this extremely rare type of mixed cystic neoplasm was managed successfully with extensive distal pancreatectomy. Conclusions: The preoperative evaluation of the extent of the pancreatic involvement and the definition of the histologic type of the involved neoplasms before the pancreatic resection is challenging.