The patient has a cystic mucinous lesion of her pancreas. Differentiating between a benign mucinous cystadenoma (which can undergo malignant transformation) and a malignant mucinous cystadenocarcinoma is difficult, even when good imaging studies are obtained. Surgical resection is warranted, and because the lesion is located in the pancreatic tail, a distal pancreatectomy and splenectomy would again be the procedure of choice. Surgical enucleation alone would be inadequate for a possibly malignant cyst. Endoscopic drainage of the lesion is contraindicated in this patient.
- Distal pancreatectomy with splenectomy.
Click here to return to the questions
Seminars in Medical Practice
Hospital Physician Board Review Manuals
Copyright © 2009, Turner White Communications
Updated 1/04/08 kkj