Presentation
Cystic mass with apparent central scar characterized on ultrasound examination. Patient hospitalized due cardiovascular reasons.
Patient Data
Examination performed without contrast because of a change in creatinine clearance.
Large lobulated cystic mass compromising the pancreatic body and tail. There is a central scar with stellate calcifications. The pancreatic head is preserved.
Case Discussion
Besides the location on body and tail, this lesion has typical characteristics for serous cystoadenoma of pancreas. This case = is a presumptive diagnosis.
A serous cystadenoma of the pancreas is an uncommon type of benign cystic pancreatic neoplasm. It`s typically demonstrates as a multicystic, lobulated mass in the pancreatic head region. A characteristic enhancing central scar may be present which can show associated stellate calcification (present in ~ 20 % of cases).
It is important to know the mainly differentials diagnosis, such as mucinous cystic neoplasm(s) of pancreas.
There are multiple cystic pancreatic lesions, some of which are pathognomonic, although diagnosis can be challenging even with multi-modality imaging and its relative inaccessibility to biopsy.
Unable to process the form. Check for errors and try again.