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Category: Volume 11 Issue 04 April 2023
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Title: Mucinous Cystic Neoplasm of Pancreas: A Rare Case Report

Authors: Dr Zini Chaurasia, Dr Cheta Singh

 DOI: https://dx.doi.org/10.18535/jmscr/v11i4.05

Abstract

Mucinous cystic neoplasms of the pancreas are defined by the world health organization (WHO) as cystic epithelial neoplasms that occur almost exclusively in women. Mucinous cystic neoplasms account for 5-7% of primary pancreatic tumors, with a female-to-male ratio of 20:1 and with a mean age between 40 and 50 years. Approximately 70–90% of mucinous cystic neoplasms arise in the body or tail of the pancreas.

Case Description: A-38-years female patient presented with epigastric pain for 3 months. There was no palpable mass. Computer tomography revealed a well-defined thick-walled, cystic lesion in the body and tail region of the pancreas measuring 50x50x45 mm. This mass was extending into the lesser sac and closely abutting the lesser curvature of the stomach. The radiological impression was a pancreatic pseudocyst. Ultrasound guided-FNAC was performed but it was inconclusive. The mass was excised with the tail of the pancreas and spleen. The specimen was sent for Histopathological examination for confirmation of diagnosis.

Conclusion: Mucinous cystic neoplasm is a rare entity and it is very important to distinguish it from the Intrapapillary ductal neoplasm and solid pseudopapillary neoplasm of the pancreas. The presence of ovarian stroma with focal mucinous lining helps to clinch the diagnosis and one should carefully look for dysplasia.

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Corresponding Author

Dr Zini Chaurasia

Senior Resident, Department of Pathology, Dr Baba Sahab Ambedkar Medical College and Hospital