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Application of Mid-Pancreatectomy with End-to-End Anastomosis in Pancreatic Benign Tumors
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Microcystic adenoma of the pancreas

G Torres-Barrera, C Fernández-Del Castillo, E Reyes

    Digestive Diseases and Sciences
    |May 1, 1987
    PubMed

    Insights

    Pancreatic microcystic adenoma (PMA) is a rare, benign tumor. Surgical excision is effective, but observation may be suitable for asymptomatic patients.

    Area of Science:

    • Gastroenterology
    • Surgical Oncology

    Background:

    • Pancreatic microcystic adenoma (PMA) is a rare pancreatic neoplasm, accounting for less than 1% of all pancreatic tumors.
    • Unlike mucinous cystadenomas with malignant potential, PMAs follow a benign clinical course.

    Observation:

    • The study presents three cases of middle-aged to elderly women experiencing epigastric discomfort, weight loss, and palpable masses.
    • One patient also had diabetes mellitus, a potential comorbidity associated with pancreatic conditions.

    Findings:

    • Computed tomography (CT) scans revealed characteristic imaging of PMA.
    • Surgical total excision was performed, with no evidence of tumor spread beyond the pancreas during or after surgery.
    • Percutaneous biopsy can confirm the diagnosis.

    Implications:

    • For asymptomatic patients or those with high surgical risk, non-operative management with surveillance is a reasonable approach.
    • Early diagnosis and appropriate management are crucial for favorable outcomes in pancreatic microcystic adenoma cases.

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