SEROUS MICROCYSTIC CYSTADENOMA OF PANCREAS - CASE REPORT

Currently, there are five recognized subtypes of serous cystic neoplasms of the pancreas serous microcystic adenoma, serous oligocystic ill-demarcated adenoma, solid serous adenoma, von Hippel-Lindau-associated cystic neoplasm and serous cystadenocarcinoma. Two-thirds of the patients present with symptoms, such as abdominal pain, abdominal mass, nausea, and vomiting or weight loss. The remaining one-third of the tumors are discovered incidentally on routine physical examination or autopsy. Serous microcysticadenomas make up approximately 1-2 percentage of all exocrine pancreatic tumors and 25 percentage of cystic neoplasms. They usually occur in elderly women in the seventh to eighth decade of life (range 34-91 years mean age 66 years). There is also a female predominance (70 percentage of the tumors occur in females). Most of them are located in the body or tail of the pancreas however, they are also described in the head of the pancreas. Despite their rarity, serous microcystic adenoma of the pancreas should be kept in mind when making a differential diagnosis of cystic pancreatic lesions.