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KMID : 0371320020630030256
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Journal of the Korean Surgical Society
2002 Volume.63 No. 3 p.256 ~ p.261
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Pancreatic Mucinous Cystadenoma Misdiagnosed as Pancreatic Pseudocyst and Managed by Internal Drainage
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Son kyung-Mo
Jeon Tae-Yong
Sim Mun-Sup
Lee Chang-Hun
Lee Young-Jun
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Abstract
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Diagnoses of cystic lesions in the pancreas are increasing in clinical practice because of the wider use of imaging studies. The selection of appropriate treatment depends on the ability to distinguish between benign and malignant cysts. However,
cystic
pancreatic neoplasms sometimes misdiagnosed as pseudocysts, and managed incorrectly. We report herein the case of a pancreatic mucinous cystadenoma, misdiagnosed as a pseudocyst and managed by internal drainage. A 36-year-old woman initially had
a
cystojejunostomy under the diagnosis of a pseudocyst, but subsequently suffered from epigastric pain and fever due to cyst infection. A distal pancreatectomy, encompassing the previous cystojejunostomy anastomosis site, was performed 2 years after
the
initial operation and a mucinous cystadenoma was confirmed by histopathologic examination. Although pseudocysts are predominantly cystic lesions in the pancreas, cystic neoplasms should be considered before deciding the treatment strategy because
the
misdiagnosis a cystic neoplasm as a pseudocyst may result in serious problems.
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