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A 62-year-old woman presented with abdominal pain and dyspepsia. CT revealed a multicystic mass in the tail of the pancreas; the other organs were normal and there was no lymphadenopathy. The pancreatic mass, 6.5 x 2.5 x 2.5 cm, was well demarcated, composed of multiple small cysts, and contained a central stellate scar. The neoplastic cells were found to have PAS positive, diastase digestible, cytoplasmic material. The spleen and lymph nodes were unremarkable.
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• Metastatic renal cell carcinoma
• Microcystic serous cystadenoma
• Mucinous cystic neoplasm
• Serous cystadenocarcinoma
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