Serous cystadenoma in communication with the pancreatic duct: an unusual radiologic and pathologic entity.
Publication/Presentation Date
7-1-2010
Abstract
Cross-sectional imaging is frequently used in the diagnosis of pancreatic cysts, but there can be overlap in radiographic appearance. We present a case of a patient with presumed intraductal papillary mucinous neoplasm (IPMN) who was ultimately found to have a serous cystadenoma in communication with the pancreatic duct. A literature search for serous cystadenoma communicating with the pancreatic duct was performed and the data was reviewed in the context of this case report. Three reports of patients with serous cystadenoma communicating with the pancreatic duct were identified. Review of current data revealed that endoscopic ultrasound (EUS) has an important role in distinguishing between pancreatic cystic lesions preoperatively. Distinguishing between serous and mucinous cystadenomas and IPMN is essential to guide appropriate management. Although communication with the pancreatic duct is usually pathognomonic of IPMN, rarely this may be a misdiagnosis of a serous cystadenoma and EUS may be necessary for further evaluation. If EUS cannot be performed, resection is favored to avoid undertreating a premalignant lesion.
Volume
44
Issue
6
First Page
133
Last Page
135
ISSN
1539-2031
Published In/Presented At
Berman, L., Mitchell, K. A., Israel, G., & Salem, R. R. (2010). Serous cystadenoma in communication with the pancreatic duct: an unusual radiologic and pathologic entity. Journal of clinical gastroenterology, 44(6), e133–e135. https://doi.org/10.1097/MCG.0b013e3181d3458d
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
20216080
Department(s)
Administration and Leadership
Document Type
Article