Pancreatic Cystic Neoplasms: From Imaging to Differential by George H. Sakorafas, Vassileios Smyrniotis, Michael G. Sarr

By George H. Sakorafas, Vassileios Smyrniotis, Michael G. Sarr

This booklet presents a radical evaluation of the detection of PCNs utilizing smooth imaging recommendations and a transparent consultant to the popularity of different subtypes of PCN in accordance with their radiologic and histopathologic beneficial properties. This quantity will function an exceptional reduction to the choice of optimum healing techniques in accordance with preoperative prognosis. yet another vital function is the emphasis put on radiologic, medical, and surgical correlations.

Pancreatic cystic neoplasms (PCNs) were more and more well-known in past times decade, regularly due to the common use of recent imaging modalities for the research of frequently unrelated stomach signs. the 3 most typical subtypes of PCN are serous cystic neoplasms, mucinous cystic neoplasms, and intraductal papillary mucinous neoplasms. those subtypes have special radiologic and histopathological beneficial properties, and their organic habit differs drastically. exact preoperative analysis is of leading significance in settling on the optimum healing procedure: whereas serous cystic neoplasms are quite often benign, and should be handled conservatively, mucinous cystic neoplasms and intraductal papillary mucinous neoplasms have malignant strength, warranting an competitive surgical method, i.e., pancreatectomy. Pancreatic Cystic Neoplasms might be of serious curiosity to surgeons, gastroenterologists, radiologists, oncologists, and pathologists, and in addition to internists and citizens in those specialties.

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Pancreatic Cystic Neoplasms: From Imaging to Differential Diagnosis and Management

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Clinical presentation of mucin-secreting tumors of the pancreas. Am J Surg. 2000;179:349–51. 8. Sohn TA, Yeo CJ, Cameron JL, Hruban RH, Fukushima N, Campbell KA, Lillemoe KD. Intraductal papillary mucinous neoplasms of the pancreas: an updated experience. Ann Surg. 2004;239:788–97. H. Sakorafas et al. 9. D’Angelica M, Brennan MF, Suriawinata AA, Klimstra D, Conlon KC. Intraductal papillary mucinous neoplasms of the pancreas: an analysis of clinicopathologic features and outcome. Ann Surg. 2004;239:400–8.

14). Filling defects caused 48 Fig. 12 Intraductal papillary mucinous neoplasm, mixed-duct type. Single-slice MRCP image shows a multilocular cystic lesion (arrows) in the pancreatic body and dilation of the main pancreatic duct (arrowheads) Fig. ” ERCP of main-duct IPMN with multiple filling defects secondary to mucinous globules (From Sarr et al. [36]) Fig. 14 ERCPs showing communication with cystic areas in branch-duct IPMN (uncinate and head of pancreas) (From Sarr et al. [36]) D. Kechagias and F.

11. Maire F, Hammel P, Terris B, Olschwang S, O’Toole D, Sauvanet A, Palazzo L, Ponsot P, Laplane B, Levy P, et al. Intraductal papillary and mucinous pancreatic tumour: a new extracolonic tumour in familial adenomatous polyposis. Gut. 2002;51:446–9. 12. Sato N, Rosty C, Jansen M, Fukushima N, Ueki T, Yeo CJ, Cameron JL, Iacobuzio-Donahue CA, Hruban RH, Goggins M. STK11/LKB1 Peutz-Jeghers gene inactivation in intraductal papillary-mucinous neoplasms of the pancreas. Am J Pathol. 2001;159:2017–22.

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