Pancreas Flashcards
1
Q
Pancreatic divisum
A
- ventral and dorsal duct
- recurrent abd pain, nausea, vomiting
- acute and chronic pancreatitis
- marjority drained by dorsal duct into minor papilla
- treat with ERCP and pancreatic sphincterotomy
2
Q
Intraductal papillary mucinous neoplasm (IPMN)
A
- communicates with pancreatic duct
- main duct, branch duct, and mexied subtypes
- males and females ages 60-70
- Located in head and tail
- positive mucin stain
- high amylase
- high CEA
3
Q
Mucinous cystic neoplasm pancreas
A
- Females more than males
- ages 50-60
- located on body and tail more than head
- very rarely communicates with ducts
- positive mucin stain
- low amylase
- high CEA
4
Q
Serous cystic neoplasm pancreas
A
- Females more than males
- ages 60-70
- located anywhere
- no communication with ducts
- low amylase
- negative mucin stain
- low amylase
- low CEA
5
Q
Pancreatic pseudocyst
A
- female equals male
- ages 40-60
- located anywhere
- communicates with duct
- negative mucin
- high amylase
- low CEA
6
Q
Pancreatic pseudocyst
A
- female equals male
- ages 40-60
- located anywhere
- communicates with duct
- negative mucin
- high amylase
- low CEA
7
Q
Distal pancreatectomy
A
- most commonly performed for a tumor
- splenectomy routinely performed for proper resection margins
- IMV should be ligated if enters the splenic vein lateral to target lesion
- IMV can be perserved if enters splenic vein medial to lesions or if it enters superior to SMV
