Cystic neoplasms of the pancreas: CT and sonography

Authors:
  • NWNt Wolfman
    Nt Wolfman
  • NRNA Ramquist
    NA Ramquist
  • NKN Karstaedt
    N Karstaedt
  • MHMb Hopkins
    Mb Hopkins

Abstract
Cystic neoplasms of the pancreas are pathologically divided into macrocystic adenomas and microcystic adenomas, the former are considered a premalignant lesion and the latter without malignant potential. Five cases of cystic neoplasms are presented and the sonographic and/or computed tomographic features of microcystic and macrocystic adenoma are compared. A specific diagnosis can at times be suggested based on the computed tomography and sonography findings. In the proper clinical setting microcystic adenoma should be considered in the differential diagnosis of a pancreatic mass seen on sonography and computed tomography. Preoperative biopsy with appropriate pathologic staining can be performed and aid in directing appropriate therapy.