Papillary cystic neoplasm (PCN) of the pancreas with lymph node metastasis: Case report of a 77-year-ood woman and a review of 198 reported cases

A case of papillary cystic neoplasm (PCN) of the pancreas in a 77-year-old woman, the oldest patient in the English literature, is reported. Distal pancreatectomy with regional lymphadenectomy was performed for the tumor in the pancreatic tail. Postoperative pathology examination revealed a metastatic lesion in one of the regional lymph nodes. This patient is well doing without recurrence 5 years after surgery. One hundred and ninety-eight cases of PCN, including the present case, have been reported in the English literature. The patients were aged from 2 to 77 years (mean, 25.8); there were 187 females and 11 males. Sixteen patients with metastasis, 22 with local invasion, and 3 with peritoneal dissemination were reported. Complete resection of the tumor was performed in 151 patients, including 6 with metastasis and 11 with local invasion. Only one patient died of recurrent tumor.