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In 2010 the World Health Organization described pancreatic serous cystadenocarcinoma (SCAC) as a serous cystadenoma that presents metastases or invasion of adjacent organs. Although a handful of cases have been described in literature, this entity shows some discrepancies. The dilemma can arise starting on the concept of "metastases" and "invasion": any of reported SCAC shows clear histopathological features of malignancy. Moreover no patient deceased for reasons specifically related to SCAC,doi:10.4172/2165-7092.s4-004 fatcat:maghdg2qw5eatjhwuaxjz7v4im