RT Journal Article
SR Electronic
T1 Papillary cystic neoplasm of the pancreas: presentation and natural history in two cases.
JF Gut
JO Gut
FD BMJ Publishing Group Ltd and British Society of Gastroenterology
SP 421
OP 423
DO 10.1136/gut.33.3.421
VO 33
IS 3
A1 A N Kingsnorth
A1 S W Galloway
A1 H Lewis-Jones
A1 J R Nash
A1 P A Smith
YR 1992
UL http://gut.bmj.com/content/33/3/421.abstract
AB Two young women, one white and one Chinese, with the rare but increasingly recognised papillary and cystic neoplasm of the pancreas are reported. The initial symptom in both was non-specific abdominal pain which, after investigation, was found to be caused by a pancreatic tumour. One patient did not come to surgery until five years after the initial diagnosis when she developed jaundice. In the five year interval between diagnosis and the development of jaundice computed tomography showed no change in the size (20 cm) of the pancreatic mass. Histology after resection, however, showed signs of lymphatic invasion. Cystic neoplasm of the pancreas can thus be regarded as an indolent, very slow growing tumour with potential for local invasion and hence metastatic spread.