Abstract
Introduction: Cystic tumors of the pancreas represent 1 % of all malignant neoplasms of the pancreas. There are two forms of this disease.
The first, serous cystadenoma in most cases results in a benign tumor. The second, mucinous cystic neoplasm of the pancreas usually leads to a potential malignant tumor.
The most aggressive form is an invasive mucinous cystadenocarcinoma. Case report: The authors describe the case of woman with extended pancreatic cystic tumor.
Anamnestic data showed an episode of acute pancreatitis with pseudocyst of tail of the pancreas. It was followed by repeated surgerys.
After a few years the patient was operated on extended tumor in the left part of the abdomen. Before the operation we indicated ultrasonography (USG), endoscopic retrograde cholangiopancreatography (ERCP), computed tomography (CT) and endosonography (EUS).
During surgery an extensive cystic tumour of retroperitoneal cavity enlarged from left hemidiaphragm into small pelvis was discovered.We perfomed a radical resection of the tumor with splenectomy, left nefrectomy, resection of bowel and distal pancreatectomy. Microscopical examination of the specimen confirmed invasive mucinous cystadenocarcinoma of the pancreas.
The patient was postoperatively treated by chemotherapy. There are not any signs of recurens of the tumor 10 months after the operation.
Conclusion: Mucinous cystic tumors of the pancreas usually lead to a potential malignant tumor.Preoperative diagnosis is performed by USG, CT, ERCP, MR and EUS which has an important role due to the aspiration biopsy, cytology and determining the level of carcinoembryonal antigen (CEA) in the mucin. The only one therapeutical method is radical surgical resection of the tumor.