Serous cystadenoma of pancreas

Case contributed by Dr Bruno Di Muzio


Cystic mass with apparent central scar characterized on ultrasound examination. Patient hospitalized due cardiovascular reasons.

Patient Data

Age: 78
Gender: Female

CT (selected images)

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.  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.

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 in the pancreas, some of which are pathognomonic, although diagnosis can be challenging even with multi-modality imaging and its relative inaccessibility to biopsy.


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Case information

rID: 23457
Published: 16th Jun 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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