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ABDOMEN / Pancreas   50 / M,  Incidentally detected pancreas lesion
2020-11-15
About Author
Authors Shin yong moon
Institution Asan medical center
E-mail cjimage@amc.seoul.kr
About Case
Chief complaint
or Title
Incidentally detected pancreas lesion
Subspecialty ABDOMEN / Pancreas
Classification Neoplasm, benign / adenoma
Age 50 Sex M
Difficulty For resident, For specialist
Modality CT, MR
Case Figures
Click above Figure for more images.
Questions
What is your diagnosis?
Answer
Diagnosis 2
Comments

      



 

1. Radilogical finding

CT

Well defined, hyperdense enhancement
without wash out



 

MRI

T1WI : low SI

T2WI : high SI with internal sepatation
suspected

Persistent 
enhancement



 

2. Pathological findings.



 

 



 

Serous cystadenoma of pancreas

solid pancreatic tumors composed of cells that are morphologically and histochemically indistinguishable from those of SCNs.  Serous cystadenoma cells that do not secrete fluid  or they comprise a large number of small cysts  measuring tenths of a millimeter .



 

3. Solid type serous cystadenoma



 

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¼ö¼úÀ» ¹æÁöÇϱâ À§ÇÏ¿©, ´Ù¸¥ Á¾¾ç( Neuroendocrine
tumor, SPN, hypervascular metastasis
µî ) °ú °¨º°ÀÌ ¸Å¿ì
Áß¿äÇÏ´Ù.



 

 MR ¿µ»óÀ»
½ÃÇàÇÏ¿© T2 °­Á¶¿µ»ó¿¡¼­ °í½ÅÈ£ °­µµ·Î º¸ÀÌ´Â ³¶Á¾µéÀ» ¹ß°ßÇÔÀ¸·Î½á Àå¾×¼º ³¶¼±Á¾À¸·Î Áø´ÜÇÒ ¼ö ÀÖ´Ù



 

 

 

 

 

 



 

 

 

 

 

 


References Jie‑Yu Chen, Hai‑Yan Chen, Yao Pan, Dan Shi, Ri‑Sheng Yu.
Computed tomography and magnetic resonance imaging features of solid serous cystadenomas of the pancreas. Oncology letters 2019,18.898-906
Keywords pancreas, serous cystadenoma, solid variant
Attachment File -

Number of Applicants : 44
Correct Answer 20
Mayo Clinic Akitoshi Inou
Mayo Clinic Hiroaki Takahashi
The University of Tokyo Hospital Toshihiro Furuta
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