Serous cystadenoma of the pancreas

Case contributed by Michael P. Hartung
Diagnosis almost certain

Presentation

Abdominal discomfort.

Patient Data

Age: 70 years
Gender: Female
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Multiloculated microcystic mass in the pancreatic body resembling a honeycomb. Few fine calficiations. Slightly more dense appearance centrally likely a central scar. No pancreatic ductal dilation. 

Mildly dilated common bile duct. Possible small filling defects in the distal CBD indicating choledocholithiasis. 

Case Discussion

Classic appearance of a benign serous cystadenoma in an older female with honeycomb appearance and central scar. 

Generally these are monitored if less than 4cm and not resulting in symptoms. This patient underwent a non-diagnostic FNA, but no further intervention. 

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