Rare clinical entity of diffuse mucinous cystic neoplasm of the pancreas: A case report and review of the literature

• Published in: International journal of surgery case reports Vol. 111; p. 108859
• Main Authors: Musleh, Asil, Abbadi, Khaled, Asbah, Malvina, Nofal, Mohammed, Hilal, Mayar Abu, Khader, Abdellatif
• Format: Report
• Language: English
• Published: 01.10.2023
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2023.108859

INTRODUCTIONMucinous cystic neoplasm is a rare premalignant tumor of the pancreas typically affects middle aged women. Mostly it affects the body and the tail of the pancreas and in very rare cases it may affect the head. CASE PRESENTATIONA 56-year-old female patient, previously diagnosed with type 2 diabetes mellitus, and with an unremarkable medical and surgical history except for a laparoscopic cholecystectomy and multiple admissions due to colonic diverticular disease, which ultimately required a left hemicolectomy. Recently, the patient has been experiencing a gradual onset of symptoms, including persistent right upper quadrant and epigastric pain. This pain has been progressively worsening, characterized by a constricting sensation, radiating to the back. Additionally, the patient has reported a feverish sensation, yellowish discoloration of the skin over the past two months, itching, nausea, and a notable loss of appetite. Within the last two months, there has also been a significant weight loss of 10 kg. A thorough evaluation led to a diagnosis of diffuse mucinous cystic neoplasm, which involves the entire pancreas. DISCUSSIONDue to its categorization as a premalignant abnormality, swift surgical action is imperative following diagnosis to minimize the possibility of evolving into a malignant state. This strategy is vital to secure the best possible results for the patient and to lower the likelihood of progression to more advanced malignant stages. CONCLUSIONTo our knowledge, this is one of the few reported cases of diffuse histology-proven MCN of the pancreas.