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Coexistence of mucinous cystic neoplasm occurring in the head of the pancreas with annular pancreas: Report of a case

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Abstract

Mucinous cystic neoplasms (MCN) of the pancreas are rare tumors that are almost exclusively located in the body or the tail of the pancreas. A 60-year-old woman with no history of pancreatic disease was referred to our hospital with a chief complaint of dull pain in the upper abdomen. Abdominal computed tomography showed a multilocular cystic mass of 7.0 cm in the head of the pancreas, and endoscopic retrograde cholangiopancreatography showed no communication between the cystic mass and the main pancreatic duct. A pancreatoduodenectomy was performed for the complete resection of the tumor, and an annular pancreas was discovered by accident. The pathological examination of the tumor led to a definitive diagnosis of MCN with ovarian-type stroma. To our knowledge this is the first documented case of MCN occurring in the head of the pancreas and associated with annular pancreas.

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References

  1. Fernández-Del Castillo C. Mucinous cystic neoplasms. J Gastrointest Surg 2008;12:411–413.

    Article  PubMed  Google Scholar 

  2. Hara T, Kawashima H, Ishigooka M, Kashiyama M, Takanashi S, Yamazaki S, et al. Mucinous cystic tumors of the pancreas. Surg Today 2002;32:965–969.

    Article  PubMed  Google Scholar 

  3. Kloppel G, Solcia E, Longnecker DS, Capella C, Sobin LH. Histological typing of tumours of the exocrine pancreas. In: World Health Organization International Histological Classification of Tumours. 2nd ed. Berlin: Springer; 1996. p. 12–19.

    Google Scholar 

  4. Tanaka M, Chari S, Adsay V, Castillo CF, Falconi M, Shimizu M, et al. International consensus guidelines for management of intraductal papillary mucinous neoplasms and mucinous cystic neoplasms of the pancreas. Pancreatology 2006;6:17–32.

    Article  PubMed  Google Scholar 

  5. Goh BK, Tan YM, Chung YF, Chow PK, Cheow PC, Wong WK, et al. A review of mucinous cystic neoplasms of the pancreas defined by ovarian-type stroma: clinicopathological features of 344 patients. World J Surg 2006;30:2236–2245.

    Article  PubMed  Google Scholar 

  6. Tiedemann F. Uber die Verschiedenheiten des Ausfuhrungsganges der Bauchspeicheldruse bei den Menschen und Saugetieren. Disch Arch Physiol 1818;4:403.

    Google Scholar 

  7. Lecco TM. Zur Morphologie des Pancreas annulare. Sitzungsb Wien Akad Wissensch 1910;119:391–406.

    Google Scholar 

  8. Baldwin WM. A specimen of Annular Pancreas. Anat Rec 1910;4:299–304.

    Article  Google Scholar 

  9. Ravitch MM, Woods AC Jr. Annular pancreas. Ann Surg 1950;132:1116–1127.

    Article  PubMed  CAS  Google Scholar 

  10. Vasconcelos E, Sadek HM. Pancreas annular produzindo estenose duodenal. Rev Bras Gastroenterol 1949;1:535–551.

    Google Scholar 

  11. Murakami Y, Uemura K, Morifuji M, Hayashidani Y, Sudo T, Sueda T. Mucinous cystic neoplasm of the pancreas with ovarian-type stroma arising in the head of the pancreas: case report and review of the literature. Dig Dis Sci 2006;51:629–632.

    Article  PubMed  Google Scholar 

  12. Foo FJ, Gill U, Verbeke CS, Guthrie JA, Menon KV. Ampullary carcinoma associated with an annular pancreas. JOP 2007;8:50–54.

    PubMed  Google Scholar 

  13. Compagno J, Oertel JE. Mucinous cystic neoplasms of the pancreas with overt and latent malignancy (cystadenocarcinoma and cystadenoma). A clinicopathologic study of 41 cases. Am J Clin Pathol 1978;69:573–580.

    PubMed  CAS  Google Scholar 

  14. Thompson LD, Becker RC, Przygodski RM, Adair CF, Heffess CS. Mucinous cystic neoplasm (mucinous cystadenocarcinoma of low-grade malignant potential) of the pancreas. A clinicopathologic study of 130 cases. Am J Surg Pathol 1999;23:1–16.

    Article  PubMed  CAS  Google Scholar 

  15. Zamboni G, Scarpa A, Bogina G, Iacono C, Bassi C, Talamini G, et al. Mucinous cystic tumors of the pancreas: clinicopathological features, prognosis, and relationship to other mucinous cystic tumors. Am J Surg Pathol 1999;23:410–422.

    Article  PubMed  CAS  Google Scholar 

  16. Wilentz RE, Albores-Saavedra J, Zahurak M, Talamini MA, Yeo CJ, Cameron JL, et al. Pathologic examination accurately predicts prognosis in mucinous cystic neoplasms of the pancreas. Am J Surg Pathol 1999;23:1320–1327.

    Article  PubMed  CAS  Google Scholar 

  17. Kiernan PD, ReMine SG, Kiernan PC, ReMine WH. Annular pancreas: Mayo Clinic experience from 1957 to 1976 with review of the literature. Arch Surg 1980;115:46–50.

    PubMed  CAS  Google Scholar 

  18. Dharmsathaphorn K, Burrell M, Dobbins J. Diagnosis of annular pancreas with endoscopic retrograde cholangiopancreatography. Gastroenterology 1979;77:1109–1114.

    PubMed  CAS  Google Scholar 

  19. Ohno Y, Kanematsu T. Annular pancreas causing localized recurrent pancreatitis in a child: report of a case. Surg Today 2008;38:1052–1055.

    Article  PubMed  Google Scholar 

  20. Novetsky GJ, Berlin L, Smith C, Epstein AJ. CT diagnosis of annular pancreas. J Comput Assist Tomogr 1984;8:1031–1032.

    Article  PubMed  CAS  Google Scholar 

  21. Chevallier P, Souci J, Buckley MJ, Oddo F, Hastier P, Diaine B. Annular pancreas: MR imaging including MR cholangiopancreatography (MRCP). Pancreas 1999;18:216–218.

    Article  PubMed  CAS  Google Scholar 

  22. Urayama S, Kozarek R, Ball T, Brandabur J, Traverso L, Ryan J, et al. Presentation and treatment of annular pancreas in an adult population. Am J Gastroenterol 1995;90:995–999.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Matsuyama Red Cross Hospital, 1 Bunkyomachi, Matsuyama, Ehime, 790-8524, Japan

    Hideki Ijichi, Takashi Nishizaki, Takahiro Terashi, Takeshi Shiraishi, Ikuo Takahashi & Hiroya Wada

  2. Department of Radiology, Matsuyama Red Cross Hospital, 1 Bunkyomachi, Matsuyama, Ehime, 790-8524, Japan

    Shinji Yoshioka & Shigetoshi Murata

  3. Department of Pathology, Matsuyama Red Cross Hospital, 1 Bunkyomachi, Matsuyama, Ehime, 790-8524, Japan

    Yumi Oshiro

  4. Department of Center for Liver and Biliary Diseases, Matsuyama Red Cross Hospital, 1 Bunkyomachi, Matsuyama, Ehime, 790-8524, Japan

    Kouji Joko

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  1. Hideki Ijichi
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  2. Takashi Nishizaki
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  3. Takahiro Terashi
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Ijichi, H., Nishizaki, T., Terashi, T. et al. Coexistence of mucinous cystic neoplasm occurring in the head of the pancreas with annular pancreas: Report of a case. Surg Today 39, 897–900 (2009). https://doi.org/10.1007/s00595-008-3956-7

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  • DOI: https://doi.org/10.1007/s00595-008-3956-7

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