Cystic pancreatic masses: cross-sectional imaging observations and serial follow-up

Megibow, Alec J.; Lombardo, Fábio; Guarise, Alessandro; Carbognin, Giovanni; Scholes, John V.; Rofsky, Neil M.; Macari, Michael; Balthazar, Emil J.; Procacci, Carlo

doi:10.1007/s00261-001-0024-9

Cited by 97 publications

(65 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Si los quistes son muy pequeños y el contenido estromal grande, el tumor tendrá un aspecto sólido; de hecho, el gran problema diagnóstico radica en su diferenciación respecto de masas sólidas y no respecto de otros tumores quísticos. 11,12,13 El tratamiento de elección de los tumores quísticos del páncreas en general es la resección quirúrgica, dependiendo de la localización del tumor y su naturaleza se realizan cirugías radicales versus conservadoras, ya que en la literatura mundial sólo se han descrito 10 casos de degeneración maligna. 14,15,16,17,18 Por la presencia de síntomas, realizamos como tratamiento quirúrgico, pancreatectomía caudal y esplenectomía videolaparoscópica, con confirmación por anatomía patológica de cistoadenoma seroso benigno de páncreas.…”

Section: 23unclassified

Laparoscopic Treatment of Serous Cystadenoma in Tail of Pancreas: Report of One Case

Farina¹,

Aguilera²,

Pederzoli³

et al. 2015

Rev. Cir. Parag

View full text Add to dashboard Cite

RESUMENIntroducción: Los tumores quísticos representan el 1% de todos los tumores primarios del páncreas y sólo el 15% de las lesiones quísticas. Los cistoadenomas serosos (SCA) son lesiones casi siempre benignas con un tamaño promedio de 4 cm, sin embargo en raros casos existen lesiones de mayor tamaño que ocasionalmente producen síntomas relacionados al efecto de masa y compresión de estructuras vecinas, se presenta el caso de una paciente con imagen tomográfico de lesión en cola de páncreas de 10 cm. de diámetro que se le realizó pancreatectomía caudal y esplenectomía video laparoscópica. Se confirmó el diagnósti-co por anatomía patológica. Se realiza una revisión bibliográfi-ca de la enfermedad, opciones diagnósticas y terapeúticas.Palabras claves: Cistoadenoma Seroso de cola de Pán-creas. Diagnóstico. Tratamiento. ABSTRACTIntroduction: Cystic tumors represent 1% of all primary Pancreatic Tumors and only 15% of cystic lesions. The serous cystadenomas (SCA) are almost always benign lesions with an average size of 4 cm, however in rare cases there are larger lesions which occasionally produce symptoms related to the mass effect and compression of surrounding structures, arises the tomographic image patient case of injury in tail of pancreas of 10 cm. in diameter that caudal pancreatectomy and video-assisted laparoscopic Splenectomy were performed. The diagnosis was confirmed by pathology. He is a literature review of disease, diagnostic options, and therapeutic.

show abstract

Section: 23unclassified

Laparoscopic Treatment of Serous Cystadenoma in Tail of Pancreas: Report of One Case

Farina¹,

Aguilera²,

Pederzoli³

et al. 2015

Rev. Cir. Parag

View full text Add to dashboard Cite

show abstract

“…overlapping imaging features of SCAs with other more aggressive cystic neoplasms makes management of these lesions challenging [7,9,11,12] . Accurate characterization is therefore imperative because of the low malignant potential of SCA and to determine the treatment options and to differentiate them from more aggressive lesions.…”

Section: Mdct Features Pathology Findingsmentioning

confidence: 99%

“…Accurate characterization is therefore imperative because of the low malignant potential of SCA and to determine the treatment options and to differentiate them from more aggressive lesions. Several studies have described the spectrum of imaging appearances of SCA on CT which include microcystic, macrocystic, unilocular and mixed morphologic patterns [7,9,[11][12][13][14] . Microcystic pattern which is the most predominant pattern has been described in 70%-80% of SCAs [11,12,14] .…”

Section: Mdct Features Pathology Findingsmentioning

confidence: 99%

“…Tumors that are resected have a good prognosis, with no requirement for postoperative surveillance [3,6] . Due to increased utilization of high-resolution imaging such as multi-detector computed tomography (MDCT), magnetic resonance imaging (MRI) and MR cholangiopancreatography (MRCP), SCAs are now more frequently identified, and often incidentally [8,9] . This high rate of detection of incidental pancreatic cystic lesions has generated great interest regarding the appropriate management of these lesions [6] .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Predictive value of multi-detector computed tomography for accurate diagnosis of serous cystadenoma: Radiologic-pathologic correlation

Shah¹,

Sainani²,

Ramesh³

et al. 2009

WJG

View full text Add to dashboard Cite

AIM: To identify multi-detector computed tomography ( M D C T ) f e a t u r e s m o s t p r e d i c t i v e o f s e r o u s cystadenomas (SCAs), correlating with histopathology, and to study the impact of cyst size and MDCT technique on reader performance. METHODS:The MDCT scans of 164 patients with surgically verified pancreatic cystic lesions were reviewed by two readers to study the predictive value of various morphological features for establishing a diagnosis of SCAs. Accuracy in lesion characterization and reader confidence were correlated with lesion size (≤ 3 cm or ≥ 3 cm) and scanning protocols (dedicated vs routine).RESULTS: 28/164 cysts (mean size, 39 mm; range, 8-92 mm) were diagnosed as SCA on pathology. The MDCT features predictive of diagnosis of SCA were microcystic appearance (22/28, 78.6%), surface lobulations (25/28, 89.3%) and central scar (9/28, 32.4%). Stepwise logistic regression analysis showed that only microcystic appearance was significant for CT diagnosis of SCA (P = 0.0001). The sensitivity, specificity and PPV of central scar and of combined microcystic appearance and lobulations were 32.4%/100%/100% and 68%/100%/100%, respectively. The reader confidence was higher for lesions > 3 cm (P = 0.02) and for MDCT scans performed using thin collimation (1.25-2.5 mm) compared to routine 5 mm collimation exams (P > 0.05). CONCLUSION:Central scar on MDCT is diagnostic of SCA but is seen in only one third of SCAs. Microcystic morphology is the most significant CT feature in diagnosis of SCA. A combination of microcystic appearance and surface lobulations offers accuracy comparable to central scar with higher sensitivity.

show abstract

“…As we all well known, the pancreatic cystic neoplasm is very common in clinical practice, which sometimes is recognised as an indication of limited local surgery due to its convenience and safety as well [1,2]. Generally, if the size in diameter of pancreatic cystic neoplasm less than 3.0 cm, major of them should be recognized as benign and supervenience for them is accessible.…”

Section: Opinionmentioning

confidence: 99%

Postoperative Duodenal Obstruction: Etiology, Pathogenesis, Clinical Features and Problem Resolving

Zhan¹,

Kong²

2017

Pancreat Disord Ther

View full text Add to dashboard Cite

Cystic pancreatic masses: cross-sectional imaging observations and serial follow-up

Abstract: In patients with suspected cystic pancreatic neoplasms, surveillance might be possible if lesions are smaller than 2.5 cm, spare the main pancreatic duct, and demonstrate no solid components.

Cited by 97 publications

References 34 publications

Laparoscopic Treatment of Serous Cystadenoma in Tail of Pancreas: Report of One Case

Laparoscopic Treatment of Serous Cystadenoma in Tail of Pancreas: Report of One Case

Predictive value of multi-detector computed tomography for accurate diagnosis of serous cystadenoma: Radiologic-pathologic correlation

Postoperative Duodenal Obstruction: Etiology, Pathogenesis, Clinical Features and Problem Resolving

Contact Info

Product

Resources

About