Pancreatic cystic neoplasms: a look back or test of time
PDF (Українська)

How to Cite

Gubergrits, N., Byelyayeva, N., & Mozhyna, T. (2021). Pancreatic cystic neoplasms: a look back or test of time. Herald of Pancreatic Club, 2(51), 79-91. Retrieved from https://vkp.org.ua/index.php/journal/article/view/241

Abstract views: 8
PDF Downloads: 4

Abstract

The article discusses in detail a clinical case of polycystic disease with a predominant lesion of pancreas, kidneys, mammary glands, ovaries, and brain. A feature of this clinical case is that it was possible to confirm the diagnosis according to the recommendations of the European Study Group on Cystic Tumors of the Pancreas (2018) a few years later since the first pancreatic cystic neoplasm was discovered.

The patient first drew attention to the appearance of a pulsative formation in the right half of epigastrium in 1991; a single pancreatic cyst was diagnosed by ultrasonography. By August 2001, it had significantly enlarged and began to be defined as a palpable mass in the right half of epigastrium. Ultrasound examination revealed one cyst in pancreatic head up to 16 cm in diameter. Percutaneous puncture with aspiration of the cyst contents (cytologically — a long-existing cyst) was performed. In 2002, a single cyst was found in the right kidney for the first time. Four years later, a single cystic neoplasm was again visualized in the pancreas, which by 2007 had transformed into multiple pancreatic cysts. In the same year two cysts were found in the right mammary gland; the cytological analysis did not reveal signs of atypia. Numerous imaging studies conducted in 2009 confirmed polycystic disease of pancreas, kidneys, and cystic cavity in the brain. However, conducted studies could not characterize the type of pancreatic cysts and their malignant potential. The answer to this question was provided by endoscopic ultrasound examination with fine-needle aspiration (2010): mixed type of intraductal papillary mucinous neoplasm was found.

PDF (Українська)

References

The article discusses in detail a clinical case of polycystic disease with a predominant lesion of pancreas, kidneys, mammary glands, ovaries, and brain. A feature of this clinical case is that it was possible to confirm the diagnosis according to the recommendations of the European Study Group on Cystic Tumors of the Pancreas (2018) a few years later since the first pancreatic cystic neoplasm was discovered.
The patient first drew attention to the appearance of a pulsative formation in the right half of epigastrium in 1991; a single pancreatic cyst was diagnosed by ultrasonography. By August 2001, it had significantly enlarged and began to be defined as a palpable mass in the right half of epigastrium. Ultrasound examination revealed one cyst in pancreatic head up to 16 cm in diameter. Percutaneous puncture with aspiration of the cyst contents (cytologically — a long-existing cyst) was performed. In 2002, a single cyst was found in the right kidney for the first time. Four years later, a single cystic neoplasm was again visualized in the pancreas, which by 2007 had transformed into multiple pancreatic cysts. In the same year two cysts were found in the right mammary gland; the cytological analysis did not reveal signs of atypia. Numerous imaging studies conducted in 2009 confirmed polycystic disease of pancreas, kidneys, and cystic cavity in the brain. However, conducted studies could not characterize the type of pancreatic cysts and their malignant potential. The answer to this question was provided by endoscopic ultrasound examination with fine-needle aspiration (2010): mixed type of intraductal papillary mucinous neoplasm was found.