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The many faces of pancreatic serous cystadenoma: Radiologic and pathologic correlation
L C Chu1, A D Singhi2, R R Haroun1
1The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, 600 North Wolfe Street, Halsted B168, 21287 Baltimore, MD, USA.
Diagnostic and Interventional Imaging
|September 12, 2016
Summary
Pancreatic serous cystadenoma, a benign tumor, shows distinct patterns on computed tomography (CT). Recognizing typical CT features aids in differentiating it from malignant pancreatic masses.
Area of Science:
- Gastroenterology
- Radiology
- Oncology
Background:
- Pancreatic serous cystadenoma is a rare, typically benign cystic neoplasm of the pancreas.
- It can present with various imaging patterns, including microcystic, honeycomb, oligocystic, and solid forms.
Purpose of the Study:
- To review the pathophysiology, prevalence, and imaging characteristics of pancreatic serous cystadenoma.
- To discuss the diagnostic challenges posed by atypical presentations that mimic malignancy.
- To provide recommendations for the management of pancreatic serous cystadenoma.
Main Methods:
- Review of existing literature on pancreatic serous cystadenoma.
- Analysis of computed tomography (CT) features associated with different patterns of serous cystadenoma.
- Comparison of CT findings with other cystic and solid pancreatic neoplasms.
Main Results:
- Typical computed tomography (CT) features are crucial for differentiating serous cystadenomas from other pancreatic masses.
- Atypical CT features can lead to misdiagnosis, mimicking malignant pancreatic neoplasms.
- Understanding the imaging spectrum is key to accurate diagnosis.
Conclusions:
- Computed tomography (CT) plays a vital role in the diagnosis of pancreatic serous cystadenoma.
- Awareness of typical and atypical CT features is essential for appropriate patient management.
- Distinguishing serous cystadenoma from malignancy impacts treatment strategies.
