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[Microcystic adenoma of the pancreas]
M Ben Othman1, K Ben Romdhane, R Khattech
1Service d'Anatomie et de Cytologie Pathologiques, Tunisie.
Abstract:
Microcyst adenomas of the pancreas are rare tumours with characteristic cysts lining the cubic and cylindric epithelia with a clear cytoplasm rich in glycogen. Unlike, mucinous cyst adenomas, there is no tendency toward malignancy. We report a case in a 58-year-old woman and emphasize the importance of precise pre- or per-operative diagnosis in order to avoid excessive exeresis for benign tumour. Certain authors propose abstention and follow up.
Insights
Microcystic adenomas of the pancreas are rare, benign tumors. Accurate diagnosis is crucial to prevent unnecessary surgery for this non-malignant pancreatic cyst.
Area of Science:
- Gastroenterology and Hepatology
- Surgical Oncology
- Pathology
Background:
- Microcystic adenomas (MCAs) are rare pancreatic neoplasms.
- Distinguishing MCAs from mucinous cystic neoplasms is critical due to differing malignant potential.
Observation:
- A case of a 58-year-old woman with a microcystic adenoma of the pancreas is presented.
- The tumor exhibited characteristic cystic lining of cubic and cylindric epithelia with clear, glycogen-rich cytoplasm.
Findings:
- Microcystic adenomas demonstrate no inherent tendency toward malignancy, unlike mucinous cystic adenomas.
- Pre- or per-operative diagnosis is essential for appropriate management.
Implications:
- Precise diagnosis can prevent overly aggressive surgical resection for benign microcystic adenomas.
- Conservative management and follow-up may be considered for select cases of microcystic adenoma.