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Miguel Echenique-Elizondo, MD
From the Department of Surgery, Basque Country University School of Medicine, San Sebastián, Spain.

Arch Surg. 2003;138:1157.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

WIDESPREAD USE of abdominal imaging techniques has resulted in increasing diagnoses of pancreatic cyst and masses, which are asymptomatic otherwise. This has produced a growing interest in more acute and refined preoperative diagnostic interventions to guide surgical approach and technique.

A 57-year-old woman had symptoms of epigastric fullness and a palpable mass. A computed tomographic (CT) scan showed a well-defined pancreatic tumor localized in the body (Figure 1). The patient was scheduled for surgery. At celiotomy, a large capsulated pancreatic tumor was identified, and a distal near-total pancreatectomy with splenectomy was performed (Figure 2). The patient recovered uneventfully and is free of disease 8 years later. Results of a glucose tolerance test are within normal limits despite extended pancreatic resection.

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

What Is the Diagnosis?

A. Hydatid disease of the pancreas

B. Giant serous microcystic adenoma of the pancreas

C. Mucinous cystic neoplasm of . . . [Full Text of this Article]

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