Pancreatic serous cystadenoma

Case contributed by Dr Wayland Wang

Presentation

Pancreatic tumour incidentally detected on workup for renal transplant.

Patient Data

Age: 56
Gender: Female
CT

Enhancing pancreatic tail neoplasm is demonstrated. No calcification is identified. The lesion appears macrocystic with poorly defined septations. There is no communication with the pancreatic duct, and the pancreatic duct is not dilated. No other pancreatic lesion identified. No hepatic metastases. No enlarged upper abdominal lymph nodes. The remainder the study is normal.

MRI

In the tail of pancreas, 5 cm lobulated microcystic lesion demonstrates central septations/scar. Multiple small elongated cystic lesions in the body of pancreas. No solid pancreatic lesions. The pancreatic duct is not dilated (3 mm). No enlarged upper abdominal lymph nodes.

Small simple renal cysts and gallstones, with the remainder of the upper abdomen unremarkable.

Conclusion:

Pancreatic tail lesion is compatible with a serous cystadenoma. Other pancreatic body lesions are most likely side-branch type IPMN. No concerning features.

Case Discussion

This is a nice case of serous cystadenoma.

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Case information

rID: 51071
Published: 10th Oct 2018
Last edited: 10th Oct 2018
Inclusion in quiz mode: Included

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