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Mucinous Cystic Pancreatic Tumor
Fauzia Vandermeer, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Mucinous cystic pancreatic tumor (MCN)
          • Synonyms

            • Mucinous cystic neoplasm of pancreas
            • Mucinous cystadenoma/cystadenocarcinoma
            • Macrocystic cystadenoma/cystadenocarcinoma
            • Macrocystic adenoma
          • Definitions

            • Septated cystic neoplasm composed of mucin-producing epithelium and distinctive ovarian-type stroma, ranging in grade from potentially malignant to invasive carcinoma

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • CT Findings

                • MR Findings

                  • Other Modality Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • Staging, Grading, & Classification

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Khashab MA et al: Should we do EUS/FNA on patients with pancreatic cysts? The incremental diagnostic yield of EUS over CT/MRI for prediction of cystic neoplasms. Pancreas. 42(4):717-21, 2013
                                          2. Sahani DV et al: Diagnosis and management of cystic pancreatic lesions. AJR Am J Roentgenol. 200(2):343-54, 2013
                                          3. Dewhurst CE et al: Cystic tumors of the pancreas: imaging and management. Radiol Clin North Am. 50(3):467-86, 2012
                                          4. Tanaka M et al: International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology. 12(3):183-97, 2012
                                          5. Sakorafas GH et al: Primary pancreatic cystic neoplasms revisited: part II. Mucinous cystic neoplasms. Surg Oncol. 20(2):e93-101, 2011
                                          6. Goh BK et al: A review of mucinous cystic neoplasms of the pancreas defined by ovarian-type stroma: clinicopathological features of 344 patients. World J Surg. 30(12):2236-45, 2006
                                          7. Reddy RP et al: Pancreatic mucinous cystic neoplasm defined by ovarian stroma: demographics, clinical features, and prevalence of cancer. Clin Gastroenterol Hepatol. 2(11):1026-31, 2004
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Mucinous cystic pancreatic tumor (MCN)
                                                  • Synonyms

                                                    • Mucinous cystic neoplasm of pancreas
                                                    • Mucinous cystadenoma/cystadenocarcinoma
                                                    • Macrocystic cystadenoma/cystadenocarcinoma
                                                    • Macrocystic adenoma
                                                  • Definitions

                                                    • Septated cystic neoplasm composed of mucin-producing epithelium and distinctive ovarian-type stroma, ranging in grade from potentially malignant to invasive carcinoma

                                                  IMAGING

                                                  • General Features

                                                    • Ultrasonographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Other Modality Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • Staging, Grading, & Classification

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Khashab MA et al: Should we do EUS/FNA on patients with pancreatic cysts? The incremental diagnostic yield of EUS over CT/MRI for prediction of cystic neoplasms. Pancreas. 42(4):717-21, 2013
                                                                                  2. Sahani DV et al: Diagnosis and management of cystic pancreatic lesions. AJR Am J Roentgenol. 200(2):343-54, 2013
                                                                                  3. Dewhurst CE et al: Cystic tumors of the pancreas: imaging and management. Radiol Clin North Am. 50(3):467-86, 2012
                                                                                  4. Tanaka M et al: International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology. 12(3):183-97, 2012
                                                                                  5. Sakorafas GH et al: Primary pancreatic cystic neoplasms revisited: part II. Mucinous cystic neoplasms. Surg Oncol. 20(2):e93-101, 2011
                                                                                  6. Goh BK et al: A review of mucinous cystic neoplasms of the pancreas defined by ovarian-type stroma: clinicopathological features of 344 patients. World J Surg. 30(12):2236-45, 2006
                                                                                  7. Reddy RP et al: Pancreatic mucinous cystic neoplasm defined by ovarian stroma: demographics, clinical features, and prevalence of cancer. Clin Gastroenterol Hepatol. 2(11):1026-31, 2004