Pancreas - Part 4 Flashcards

1
Q

What are clinical findings of a pancreatic cyst? (3)

A
  1. Asymptomatic
  2. Dyspepsia
  3. Jaundice
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2
Q

What is the US appearance of pancreatic cyst? (3)

A
  1. Anechoic mass
  2. Smooth borders
  3. Posterior acoustic enhancement
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3
Q

What are 3 differential diagnosis of a pancreatic cyst?

A
  1. Fluid-filled stomach 2. Pseudocyst

3. Polycystic disease

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4
Q

What are causes of cystadenoma? (2)

A
  1. Microcystic
    - accounts for 50% of cystic neoplasms involving the pancreas
  2. Macrocystic
    - arise from the ducts
    - malignant potential
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5
Q

What are the clinical findings of cystadenoma? (4)

A
  1. Asymptomatic
  2. Abdominal pain
  3. Palpable mass
  4. Weight loss
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6
Q

What is the microcystic US appearance of cystadenoma? (2)

A
  1. Echogenic

2. Complex mass

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7
Q

What are 4 differential diagnosis of cystadenoma?

A
  1. Pseudocyst
  2. Polycystic disease 3. Abscess
  3. Fluid-filled stomach
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8
Q

Is a cystadenoma more common in males or females?

A

Females

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9
Q

What is the macrocystic US appearance of cystadenoma? (4)

A
  1. Multiloculated cystic mass
  2. Irregular margins
  3. Solid nodules
  4. Displacement of the CBD, pancreatic duct, and splenic vein may occur
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10
Q

Where is the majority of cystadenoma located?

A

In the body and tail of the pancreas

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11
Q

What is polycystic disease associated with? (2)

A
  1. Polycystic liver

2. Kidney disease

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12
Q

What are the clinical findings of a polycystic disease? (2)

A
  1. Asymptomatic

2. Abdominal pain

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13
Q

What is the US appearance of a polycystic disease? (2)

A
  1. Multiple cysts
  2. Associated with multiple cysts in
    the liver, kidney, or spleen
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14
Q

What are 3 differential diagnosis of polycystic disease?

A
  1. True cyst
  2. Fluid-filled loops of
    bowel
  3. Cystadenoma
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15
Q

What is the 4th most common malignancy?

A

Carcinoma of the pancreas

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16
Q

What is the cause of pancreatic carcinoma?

A

Adenocarcinoma

17
Q

Where is the most common place of a pancreatic carcinoma?

A

Head of the pancreas

- the body is the next common place

18
Q

What are the clinical findings of pancreatic carcinoma? (6)

A
  1. Abdominal pain
  2. Severe back pain
  3. Weight loss
  4. Painless jaundice
  5. Anorexia
  6. New onset of diabetes
19
Q

What is the US appearance of pancreatic carcinoma? (6)

A
  1. Hypo echoic mass in the pancreas
  2. Irregular borders
  3. Dilated biliary tree
  4. Hydropic GB
  5. Liver metastasis
  6. Ascites
20
Q

What are 3 differential diagnosis of pancreatic carcinoma?

A
  1. Focal pancreatitis
  2. Adenoma
  3. Caudate lobe of the liver
21
Q

What are 2 types of functional Islet cell tumours?

A
  1. Insulinoma

2. Gastrinoma

22
Q

How much of nonfunctional Islet cell tumour are malignant?

A

90%

23
Q

What are the clinical findings of an insulinoma? (5)

A
  1. Increase in insulin levels
  2. Hypoglycemia
  3. Headaches
  4. Obesity
  5. Confusion
24
Q

What are the clinical findings of an gastrinoma?

A

Gastric hyperstimulation associated with peptic ulcer disease

25
Q

What is the Islet cell tumour US appearance? (5)

A
  1. Small, well-defined hypo echoic mass
  2. Large tumours are more echogenic
  3. Calcifications
  4. Necrotic cystic areas are more likely malignant
  5. Majority are hypervascular
26
Q

What are 3 differential diagnosis of Islet cell tumours?

A
  1. Adenoma
  2. Carcinoma
  3. Complex cyst
27
Q

Where are Islet cell tumours most commonly located?

A

Body or tail

28
Q

Demonstration of the pancreatic head surrounding the duodenum is consistent with

A

An annular pancreas

29
Q

What is the most common complication associated with acute pancreatitis?

A

Pseudocyst

30
Q

Where do Islet cells of Langerhans secrete hormones directly into?

A

The bloodstream

31
Q

In a Whipple procedure, where does normal pancreatic tissue attached to?

A

The duodenum

32
Q

What is the most common cause of acute pancreatitis?

A

Biliary disease

33
Q

Is majority of nonfunctioning islet cell tumours benign or malignant?

A

Malignant

34
Q

What is the anechoic structure located in the lateral portion of the pancreatic head?

A

CBD

35
Q

A sheath of muscle fibers surrounding the distal CBD describes the

A

Sphincter of Oddi