Solid Serous Adenoma of the Pancreas: A Rare Form of Serous Cystadenoma

Sanaka, Madhusudhan R.; Kowalski, Thomas E.; Brotz, Corey; Yeo, Charles J.; McCue, Peter A.; Palazzo, Juan

doi:10.1007/s10620-007-9796-2

Cited by 20 publications

(27 citation statements)

References 7 publications

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“…Diagnosing a cystic neoplasm is difficult preoperatively, and it is usually misdiagnosed as an NET [1–3]. Cystic neoplasms represent only 1-2% of pancreatic tumors, and they are important due to their biological behavior [4, 8]. …”

Section: Discussionmentioning

confidence: 99%

Solid Serous Adenoma of the Pancreas: A Case Report and Review of the Literature

Katsourakis

Dimitriou

Noussios

et al. 2016

Case Reports in Surgery

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Herein, we report a case of a solid-type serous cystadenoma of the pancreas which is the 16th case reported worldwide and the first ever reported in Greece. Magnetic resonance imaging showed a hypervascular mass in the tail of the pancreas of a 72-year-old female who presented with mild abdominal pain. Distal pancreatectomy was performed by laparotomy and histological and immunohistochemical examination revealed a solid-type serous cystadenoma of the pancreas. Preoperative diagnosis of a solid-type serous cystadenoma of the pancreas is difficult, and, due to its benign nature, simple excision of the tumor is the recommended treatment.

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Section: Discussionmentioning

confidence: 99%

Solid Serous Adenoma of the Pancreas: A Case Report and Review of the Literature

Katsourakis

Dimitriou

Noussios

et al. 2016

Case Reports in Surgery

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“…This can explain why hypervascular solid-appearing SCNs often are misdiagnosed as NETs [5][6][7][8][9][10][11][12][13][14]. Despite the recent rapid evolution of CT, soft tissue contrast resolution is still insufficient to differentiate compactly arranged, tiny cysts with richly vascularized stroma not only in pathologically proven solid SCNs but also microcystic SCNs from true solid masses such as NETs [22,23].…”

Section: Discussionmentioning

confidence: 99%

“…The majority of solid-appearing SCNs have shown arterial hypervascularity on imaging studies [5][6][7][8][9][10][11][12][13][14]. Thus, it is not surprising that the reported cases of solidappearing SCNs were most frequently misdiagnosed as pancreatic neuroendocrine tumours (NETs) [5][6][7][8][9][10][11][12][13][14]. In contrast to NETs, SCNs are basically a benign entity and patients can be managed without surgery [15].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the recently increased interest in solid-appearing SCNs [5][6][7][8][9][10][11][12][13][14], a paucity of previous work has compared the imaging appearances of the two tumours: only one study with three cases of solid SCNs compared them on computed tomography (CT) [14]. In addition, little is known about whether magnetic resonance (MR) imaging including diffusionweighted (DW) images would be helpful [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Hypervascular solid-appearing serous cystic neoplasms of the pancreas: Differential diagnosis with neuroendocrine tumours

et al. 2015

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“…SCA does not communicate with the pancreatic ductal system and this can be well demonstrated at MRCP: this finding remains crucial for the differential diagnosis in respect to branch duct IPMNs [45][46][47][48].…”

Section: Common Imaging Findingsmentioning

confidence: 99%

Uncommon presentations of common pancreatic neoplasms: a pictorial essay

et al. 2015

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Pancreatic neoplasms are a wide group of solid and cystic lesions with different and often characteristic imaging features, clinical presentations, and management. Among solid tumors, ductal adenocarcinoma is the most common: it arises from exocrine pancreas, comprises about 90% of all pancreatic neoplasms, and generally has a bad prognosis; its therapeutic management must be multidisciplinary, involving surgeons, oncologists, gastroenterologists, radiologists, and radiotherapists. The second most common solid pancreatic neoplasms are neuroendocrine tumors: they can be divided into functioning or non-functioning and present different degrees of malignancy. Cystic pancreatic neoplasms comprise serous neoplasms, which are almost always benign, mucinous cystic neoplasms and intraductal papillary mucinous neoplasms, which can vary from benign to frankly malignant lesions, and solid pseudopapillary tumors. Other pancreatic neoplasms, such as lymphoma, metastases, or pancreatoblastoma, are rarely seen in clinical practice and have different and sometimes controversial managements. Rare clinical presentations and imaging appearance of the most common pancreatic neoplasms, both solid and cystic, are more frequently seen and clinically relevant than rare pancreatic tumors; their pathologic and radiologic appearances must be known to improve their management. The purpose of this paper is to present some rare or uncommon clinical and radiological presentations of common pancreatic neoplasms providing examples of multi-modality imaging approach with pathologic correlations, thus describing the histopathological bases that can explain the peculiar imaging features, in order to avoid relevant misdiagnosis and to improve lesion management.

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Solid Serous Adenoma of the Pancreas: A Rare Form of Serous Cystadenoma

Cited by 20 publications

References 7 publications

Solid Serous Adenoma of the Pancreas: A Case Report and Review of the Literature

Solid Serous Adenoma of the Pancreas: A Case Report and Review of the Literature

Hypervascular solid-appearing serous cystic neoplasms of the pancreas: Differential diagnosis with neuroendocrine tumours

Uncommon presentations of common pancreatic neoplasms: a pictorial essay

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