Acinar cystic transformation of the pancreas: A diagnostic problem
Acta Medica Iranica, cilt.58, sa.8, ss.416-418, 2020 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 58 Sayı: 8
- Basım Tarihi: 2020
- Doi Numarası: 10.18502/acta.v58i8.4595
- Dergi Adı: Acta Medica Iranica
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, CAB Abstracts, EMBASE, Veterinary Science Database, Directory of Open Access Journals
- Sayfa Sayıları: ss.416-418
- Anahtar Kelimeler: Acinar cystic transformation, Cystic tumors, Pancreas
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Acinar cystic transformation (ACT) or acinar cell cystadenoma is a rare benign tumor of the pancreas. Their clinical presentation is nonspecific, thus hampering their detection and frequently leading to misdiagnosis. In this report, we present a case of ACT of the pancreas in a 54-year-old man that was vague abdominal symptoms. A magnetic resonance imaging was shown a well-defined cystic mass located in the head of the pancreas, measuring 57×47×23 mm. Our patient was treated by pancreaticoduodenectomy. In the macroscopic examination of the mass, a multicystic lesion was found in cream-colored pancreatic tissue. Histological and immunohistochemical studies examination revealed a cystic mass containing multiple cysts at varying sizes, lined by epithelial cells without atypia and positive staining of CK7, CK8/18, and CK19. A high index of clinical suspicion is required to diagnose this tumor. The surgical approach is to ensure accurate diagnosis and to avoid complications.