BMJ Case Reports 2013; doi:10.1136/bcr-2012-007924
  • Case report

Histological percutaneous diagnosis of stage IV microcystic serous cystadenocarcinoma of the pancreas

  1. Michele Molinari1
  1. 1Department of Surgery, Dalhousie University, Halifax, Canada
  2. 2Department of Radiology, Dalhousie University, Halifax, Canada
  3. 3Department of Pathology, Dalhousie University, Halifax, Canada
  1. Correspondence to Dr Michele Molinari, michele.molinari{at}


Malignant serous cystic neoplasms (SCN) of the pancreas are exceptionally rare, and only a few cases have been reported. As a result, SCN have been unanimously classified as benign tumours. Contrary to this conviction, in 1989, George et al published the very first case of a patient found to have a malignant pancreatic SCN. Up to the time of the submission of this paper, 27 cases of serous cystoadenocarcinomas have been published. In all the previously published cases of malignant SCN, the correct diagnosis was made postoperatively or at the time of autopsy. The authors present a case of a 68-year-old patient who was incidentally found to have a large liver mass on transthoracic echocardiogram ordered for suspected coronary artery insufficiency. Subsequent investigations revealed an additional large mass in the pancreas and percutaneous biopsies of both lesions revealed histological features consistent with malignant SCN metastasised to the left hepatic lobe.

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article