Benign pancreatic neoplasm

Question 1

Cystic neoplasms of the pancreas account for less

Answer 1

than 10-15 of all pancreatic cysts

Question 2

Serous Cystadenoma

Answer 2

Rare 
well circumscribed 
Multiple tiny cysts 
mostly female 
least likely for malignancy

Question 3

Serous Cystadenoma appearance

Answer 3

• Cystic, solid, even echogenic
• Coarsely lobulated
• Multiloculated, thick-walled
• Less often: echogenic central stellate scar with calcification
• Colour Dopper: Watch for hypervascularity in septations nd wall of cyst

Question 4

Mucinous cystadenoma/Cystadenocarcinoma

Answer 4

malignant or benign with a malignant potential

• mostly women
• mostly body or tail
• well defined cysts contain thick mucinous fluid, internal septations mural nodules

Question 5

mucinous cystadenoma/cystadenocarcnoma clinically

Answer 5

Nonspecific abdominal symptoms, weght loss, abdominal mass, jaundice are presenting symptoms

Question 6

Mucinous cystadenoma/Cystadenocarcinoma

Answer 6

Well-circumscribed

• smooth surface
• thin and think walled
• mucinous fluid
• Internal septations, mural nodules

Question 7

Intraductal papillary mucinous neoplasm

Answer 7

• Intraductal papillary mucinous tumor is a form of mucinous cystic neoplasm
• originates from the main pancreatic duct or its branches
• slow growing lesion affects both men and women in the sixth and seventh decades
• histology ranges from benign to malignant

Question 8

Solid pseudopapillary neoplasms symptoms

Answer 8

Abdominal pain
Nausea
Vomiting
Weight loss

Question 9

Endocrine pancreatic neopasms

Answer 9

Arise from islet cells of pancreas