A CASE OF RADICAL RESECTION FOR SOLID CYSTIC TUMOR OF THE PANCREAS WITH WIDESPREAD METASTASES IN THE LIVER AND GREATER OMENTUM

Solid cystic tumor (SCT) of the pancreas is known to be a low-grade ma lignant tumor and distant metastasis is very rare. A 50-year-old Japan ese female was hospitalized because of a large mass in the upper abdom en. Computerized tomography revealed a large calcified tumor in the bo dy-tail of the pancreas, and multiple liver tumors. Abdominal angiogra phy demonstrated the pancreatic tumor and multiple hepatic tumors as a hypervascular mass, and disclosed a small tumor stain in the branch o f the right gastroepiploic artery. The patient underwent a distal panc reatectomy with splenectomy, extended right hepatic lobectomy, and rem oval of the omental metastases. Histopathological and electron microsc opic studies made a definitive diagnosis of SCT. She is well without a ny signs of tumor recurrence 1 yr and 2 months after the operation. Th is may be the first patient receiving simultaneous radical resection f or both the main tumor and widespread distant metastases.