Pancreas - Part 4 Flashcards
What are clinical findings of a pancreatic cyst? (3)
- Asymptomatic
- Dyspepsia
- Jaundice
What is the US appearance of pancreatic cyst? (3)
- Anechoic mass
- Smooth borders
- Posterior acoustic enhancement
What are 3 differential diagnosis of a pancreatic cyst?
- Fluid-filled stomach 2. Pseudocyst
3. Polycystic disease
What are causes of cystadenoma? (2)
- Microcystic
- accounts for 50% of cystic neoplasms involving the pancreas - Macrocystic
- arise from the ducts
- malignant potential
What are the clinical findings of cystadenoma? (4)
- Asymptomatic
- Abdominal pain
- Palpable mass
- Weight loss
What is the microcystic US appearance of cystadenoma? (2)
- Echogenic
2. Complex mass
What are 4 differential diagnosis of cystadenoma?
- Pseudocyst
- Polycystic disease 3. Abscess
- Fluid-filled stomach
Is a cystadenoma more common in males or females?
Females
What is the macrocystic US appearance of cystadenoma? (4)
- Multiloculated cystic mass
- Irregular margins
- Solid nodules
- Displacement of the CBD, pancreatic duct, and splenic vein may occur
Where is the majority of cystadenoma located?
In the body and tail of the pancreas
What is polycystic disease associated with? (2)
- Polycystic liver
2. Kidney disease
What are the clinical findings of a polycystic disease? (2)
- Asymptomatic
2. Abdominal pain
What is the US appearance of a polycystic disease? (2)
- Multiple cysts
- Associated with multiple cysts in
the liver, kidney, or spleen
What are 3 differential diagnosis of polycystic disease?
- True cyst
- Fluid-filled loops of
bowel - Cystadenoma
What is the 4th most common malignancy?
Carcinoma of the pancreas