In the course of a study dealing with pseudocysts of the pancreas reported by one of us (J. G. P.),1 a case was encountered which presented clinical characteristics simulating an inflammatory cyst but which on pathological examination proved to be an unusual neoplastic lesion of the pancreas. This tumor showed cytological characteristics consistent with an islet-cell tumor, probably of delta-cell origin, as reported by Sailer and Zinninger,2 but with the added unusual feature of cystic degeneration. This case is reported here because of its unusual pathological nature and because of certain clinical considerations which warrant discussion.
REPORT OF A CASE
A 61-year-old white woman was admitted to the Jewish Hospital in June, 1953, because of weakness, loss of appetite, loss of 25 lb. over a period of about one month, and passage of dark urine. There was no history of hematemesis, icterus, diarrhea, or bloody or tarry stools.