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Serous Cystadenoma of Pancreas
Fauzia Vandermeer, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Serous cystadenoma (SCA)
            • Synonyms

              • Pancreatic serous cystic neoplasm (SCN), glycogen-rich cystadenoma, microcystic adenoma of pancreas
            • Definitions

              • Benign epithelial neoplasm arising from centroacinar cells of the exocrine pancreas, and composed of small cysts containing proteinaceous fluid separated by fibrovascular connective tissue septa.

            IMAGING

            • General Features

              • Radiographic Findings

                • Ultrasonographic Findings

                  • CT Findings

                    • MR Findings

                      • Other Modality Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. But DY et al: To fine needle aspiration or not? An endosonographer's approach to pancreatic cystic lesions. Endosc Ultrasound. 3(2):82-90, 2014
                                              2. 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
                                              3. Dewhurst CE et al: Cystic tumors of the pancreas: imaging and management. Radiol Clin North Am. 50(3):467-86, 2012
                                              4. Kucera JN et al: Cystic lesions of the pancreas: radiologic-endosonographic correlation. Radiographics. 32(7):E283-301, 2012
                                              5. Khashab MA et al: Tumor size and location correlate with behavior of pancreatic serous cystic neoplasms. Am J Gastroenterol. 106(8):1521-6, 2011
                                              6. Choi JY et al: Typical and atypical manifestations of serous cystadenoma of the pancreas: imaging findings with pathologic correlation. AJR Am J Roentgenol. 193(1):136-42, 2009
                                              7. Sand J et al: The differentiation between pancreatic neoplastic cysts and pancreatic pseudocyst. Scand J Surg. 94(2):161-4, 2005
                                              8. Goldsmith JD: Cystic neoplasms of the pancreas. Am J Clin Pathol. 119 Suppl:S3-16, 2003
                                              9. Sheth S et al: Imaging of uncommon tumors of the pancreas. Radiol Clin North Am. 40(6):1273-87, vi, 2002
                                              10. Yeh HC et al: Microcystic features at US: a nonspecific sign for microcystic adenomas of the pancreas. Radiographics. 21(6):1455-61, 2001
                                              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

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Abbreviations

                                                          • Serous cystadenoma (SCA)
                                                        • Synonyms

                                                          • Pancreatic serous cystic neoplasm (SCN), glycogen-rich cystadenoma, microcystic adenoma of pancreas
                                                        • Definitions

                                                          • Benign epithelial neoplasm arising from centroacinar cells of the exocrine pancreas, and composed of small cysts containing proteinaceous fluid separated by fibrovascular connective tissue septa.

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • Ultrasonographic Findings

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Other Modality Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. But DY et al: To fine needle aspiration or not? An endosonographer's approach to pancreatic cystic lesions. Endosc Ultrasound. 3(2):82-90, 2014
                                                                                          2. 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
                                                                                          3. Dewhurst CE et al: Cystic tumors of the pancreas: imaging and management. Radiol Clin North Am. 50(3):467-86, 2012
                                                                                          4. Kucera JN et al: Cystic lesions of the pancreas: radiologic-endosonographic correlation. Radiographics. 32(7):E283-301, 2012
                                                                                          5. Khashab MA et al: Tumor size and location correlate with behavior of pancreatic serous cystic neoplasms. Am J Gastroenterol. 106(8):1521-6, 2011
                                                                                          6. Choi JY et al: Typical and atypical manifestations of serous cystadenoma of the pancreas: imaging findings with pathologic correlation. AJR Am J Roentgenol. 193(1):136-42, 2009
                                                                                          7. Sand J et al: The differentiation between pancreatic neoplastic cysts and pancreatic pseudocyst. Scand J Surg. 94(2):161-4, 2005
                                                                                          8. Goldsmith JD: Cystic neoplasms of the pancreas. Am J Clin Pathol. 119 Suppl:S3-16, 2003
                                                                                          9. Sheth S et al: Imaging of uncommon tumors of the pancreas. Radiol Clin North Am. 40(6):1273-87, vi, 2002
                                                                                          10. Yeh HC et al: Microcystic features at US: a nonspecific sign for microcystic adenomas of the pancreas. Radiographics. 21(6):1455-61, 2001