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Published in: Abdominal Radiology 3/2013

01-06-2013 | Pictorial Essay

Imaging features of the less common pancreatic masses

Authors: Nancy A. Hammond, Frank H. Miller, Kevin Day, Paul Nikolaidis

Published in: Abdominal Radiology | Issue 3/2013

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Abstract

Contrast-enhanced multiphase CT and dynamic gadolinium-enhanced MR have been validated in the literature as outstanding modalities for the evaluation of pancreatic pathology. In addition to the more frequently seen pancreatic adenocarcinoma, neuroendocrine tumors of the pancreas and cystic lesions such as serous and mucinous cystadenomas and IPMNs, a variety of benign and malignant lesions may occur in the pancreas. The purpose of this pictorial essay is to review the imaging findings of a variety of uncommon, benign and malignant, pancreatic neoplasms.
Literature
1.
go back to reference Koppel G, Hruban R, Longnecker D (2000) Ductal adenocarcinoma of the pancreas. In: Hamilton SR, Aaltonen LA (eds) WHO classification of tumours: pathology and genetics of tumours of the digestive system. Lyon: IARC Press Koppel G, Hruban R, Longnecker D (2000) Ductal adenocarcinoma of the pancreas. In: Hamilton SR, Aaltonen LA (eds) WHO classification of tumours: pathology and genetics of tumours of the digestive system. Lyon: IARC Press
2.
go back to reference Jung JY, Song MH, Park YS, et al. (2008) A case of mucinous noncystic carcinoma of the pancreas. Korean J Gastroenterol 51(3):204–208PubMed Jung JY, Song MH, Park YS, et al. (2008) A case of mucinous noncystic carcinoma of the pancreas. Korean J Gastroenterol 51(3):204–208PubMed
3.
go back to reference Yoon MA, Lee JM, Kim SH, et al. (2009) MRI features of pancreatic colloid carcinoma. AJR Am J Roentgenol 193:W308–W313PubMedCrossRef Yoon MA, Lee JM, Kim SH, et al. (2009) MRI features of pancreatic colloid carcinoma. AJR Am J Roentgenol 193:W308–W313PubMedCrossRef
4.
go back to reference Adsay NV, Pierson C, Sarkar F, et al. (2001) Colloid (mucinous noncystic) carcinoma of the pancreas. Am J Surg Pathol 25(1):26–42PubMedCrossRef Adsay NV, Pierson C, Sarkar F, et al. (2001) Colloid (mucinous noncystic) carcinoma of the pancreas. Am J Surg Pathol 25(1):26–42PubMedCrossRef
5.
go back to reference Tatli S, Mortele K, Levy A, et al. (2005) CT and MRI features of pure acinar cell carcinoma of the pancreas in adults. AJR Am J Roentgenol 184:511–519PubMedCrossRef Tatli S, Mortele K, Levy A, et al. (2005) CT and MRI features of pure acinar cell carcinoma of the pancreas in adults. AJR Am J Roentgenol 184:511–519PubMedCrossRef
6.
go back to reference Shah S, Mortele K (2007) Uncommon solid pancreatic neoplasms: ultrasound, computed tomography, and magnetic resonance imaging features. Semin Ultrasound CT MR 28(5):357–370PubMedCrossRef Shah S, Mortele K (2007) Uncommon solid pancreatic neoplasms: ultrasound, computed tomography, and magnetic resonance imaging features. Semin Ultrasound CT MR 28(5):357–370PubMedCrossRef
7.
go back to reference Shiozawa M, Imada T, Ishiwa N, et al. (2002) Osteoclast-like giant cell tumor of the pancreas. Int J Clin Oncol 7(6):376–380PubMedCrossRef Shiozawa M, Imada T, Ishiwa N, et al. (2002) Osteoclast-like giant cell tumor of the pancreas. Int J Clin Oncol 7(6):376–380PubMedCrossRef
8.
go back to reference Sautot-Vial N, Rahili A, Karimdjee-Soihili B, et al. (2005) Heaptobiliary and pancreatic: osteclast-like giant cell tumor of the pancreas. J Gastroenterol Hepatol 21(6):195–211 Sautot-Vial N, Rahili A, Karimdjee-Soihili B, et al. (2005) Heaptobiliary and pancreatic: osteclast-like giant cell tumor of the pancreas. J Gastroenterol Hepatol 21(6):195–211
9.
go back to reference Leighton C, Shum D (2001) Osteoclastic giant cell tumor of the pancreas. Am J Clin Oncol 24(1):77–80PubMedCrossRef Leighton C, Shum D (2001) Osteoclastic giant cell tumor of the pancreas. Am J Clin Oncol 24(1):77–80PubMedCrossRef
10.
go back to reference Richards WG, Katzmann FS, Coleman FC (1958) Extramedullary plasmacytoma arising in the head of the pancreas; report of a case. Cancer 11(3):649–652PubMedCrossRef Richards WG, Katzmann FS, Coleman FC (1958) Extramedullary plasmacytoma arising in the head of the pancreas; report of a case. Cancer 11(3):649–652PubMedCrossRef
11.
go back to reference Deguchi Y, Nonaka A, Takeuchi E, et al. (2004) Primary pancreatic plasmacytoma. Am J Clin Oncol 27(3):247–249PubMedCrossRef Deguchi Y, Nonaka A, Takeuchi E, et al. (2004) Primary pancreatic plasmacytoma. Am J Clin Oncol 27(3):247–249PubMedCrossRef
12.
go back to reference Balliu E, Casas JD, Barluenga E, Guasch I (2003) Multifocal involvement of the pancreas in multiple myeloma: sonographic, CT, and MR imaging findings. AJR Am J Roentgenol 180(2):545–546PubMedCrossRef Balliu E, Casas JD, Barluenga E, Guasch I (2003) Multifocal involvement of the pancreas in multiple myeloma: sonographic, CT, and MR imaging findings. AJR Am J Roentgenol 180(2):545–546PubMedCrossRef
13.
go back to reference Wilson TE, Korobkin M, Francis IR (1989) Pancreatic plasmacytoma: CT findings. AJR Am J Roentgenol 152(6):1227–1228PubMedCrossRef Wilson TE, Korobkin M, Francis IR (1989) Pancreatic plasmacytoma: CT findings. AJR Am J Roentgenol 152(6):1227–1228PubMedCrossRef
14.
go back to reference Nguyen BD, Ram PC (2010) F-18 FDG PET/CT imaging of multifocal extramedullary pancreatic myeloma. Clin Nucl Med 35(3):198–201PubMedCrossRef Nguyen BD, Ram PC (2010) F-18 FDG PET/CT imaging of multifocal extramedullary pancreatic myeloma. Clin Nucl Med 35(3):198–201PubMedCrossRef
15.
go back to reference Montermarano H, Lonergan GJ, Bulas DI, Selby DM (2000) Pancreatoblastoma: imaging findings in 10 patients and review of the literature. Radiology 214:276–482 Montermarano H, Lonergan GJ, Bulas DI, Selby DM (2000) Pancreatoblastoma: imaging findings in 10 patients and review of the literature. Radiology 214:276–482
16.
go back to reference Chung EM, Travis MD, Conran RM (2006) Pancreatic tumors in children: radiologic–pathologic correlation. Radiographics 26(4):1211–1238PubMedCrossRef Chung EM, Travis MD, Conran RM (2006) Pancreatic tumors in children: radiologic–pathologic correlation. Radiographics 26(4):1211–1238PubMedCrossRef
17.
go back to reference Sidden CR, Mortele KJ (2007) Cystic tumors of the pancreas: ultrasound, computed tomography, and magnetic resonance imaging features. Semin Ultrasound CT MR 28(5):339–356PubMedCrossRef Sidden CR, Mortele KJ (2007) Cystic tumors of the pancreas: ultrasound, computed tomography, and magnetic resonance imaging features. Semin Ultrasound CT MR 28(5):339–356PubMedCrossRef
18.
go back to reference Takeshita K, Furui S, Makita K, et al. (1994) Cystic islet cell tumors: radiologic findings in three cases. Abdom Imaging 19(3):225–228PubMedCrossRef Takeshita K, Furui S, Makita K, et al. (1994) Cystic islet cell tumors: radiologic findings in three cases. Abdom Imaging 19(3):225–228PubMedCrossRef
19.
go back to reference Battula N, Srinivasan P, Prachalias A, Rela M, Heaton N (2006) Primary pancreatic lymphoma: diagnostic and therapeutic dilemma. Pancreas 33(2):192–194PubMedCrossRef Battula N, Srinivasan P, Prachalias A, Rela M, Heaton N (2006) Primary pancreatic lymphoma: diagnostic and therapeutic dilemma. Pancreas 33(2):192–194PubMedCrossRef
20.
go back to reference Basu A, Patil N, Mohindra P, et al. (2007) Isolated non-Hodgkin’s lymphoma of the pancreas: case report and review of literature. J Cancer Res Ther 3(4):236–239PubMedCrossRef Basu A, Patil N, Mohindra P, et al. (2007) Isolated non-Hodgkin’s lymphoma of the pancreas: case report and review of literature. J Cancer Res Ther 3(4):236–239PubMedCrossRef
21.
go back to reference Van Beers B, Lalonde L, Soyer P, et al. (1993) Dynamic CT in pancreatic lymphoma. J Comput Assist Tomogr 17:94–97PubMedCrossRef Van Beers B, Lalonde L, Soyer P, et al. (1993) Dynamic CT in pancreatic lymphoma. J Comput Assist Tomogr 17:94–97PubMedCrossRef
22.
go back to reference Prayer L, Schurawitzki H, Mallek R, Mostbeck G (1992) CT in pancreatic involvement of non-Hodgkin lymphoma. Acta Radiol 33:123–127PubMed Prayer L, Schurawitzki H, Mallek R, Mostbeck G (1992) CT in pancreatic involvement of non-Hodgkin lymphoma. Acta Radiol 33:123–127PubMed
23.
go back to reference Madan AK, Weldon CB, Long WP, Johnson D, Raafat A (2004) Solid and papillary epithelial neoplasms of the pancreas. J Surg Oncol 85:193–198PubMedCrossRef Madan AK, Weldon CB, Long WP, Johnson D, Raafat A (2004) Solid and papillary epithelial neoplasms of the pancreas. J Surg Oncol 85:193–198PubMedCrossRef
24.
go back to reference Demos TC, Posniak HV, Harmath C, Olson MC, Aranha G (2002) Cystic lesions of the pancreas. AJR Am J Roentgenol 179:1375–1388PubMedCrossRef Demos TC, Posniak HV, Harmath C, Olson MC, Aranha G (2002) Cystic lesions of the pancreas. AJR Am J Roentgenol 179:1375–1388PubMedCrossRef
25.
go back to reference Crippa S, Angelini C, Mussi C, et al. (2006) Surgical treatment of metastatic tumors to the pancreas: a single center experience and review of the literature. World J Surg 30:1536–1542PubMedCrossRef Crippa S, Angelini C, Mussi C, et al. (2006) Surgical treatment of metastatic tumors to the pancreas: a single center experience and review of the literature. World J Surg 30:1536–1542PubMedCrossRef
26.
go back to reference To’o KJ, Raman SS, Yu NC, et al. (2005) Pancreatic and peripancreatic diseases mimicking primary pancreatic neoplasia. Radiographics 25:949–965PubMedCrossRef To’o KJ, Raman SS, Yu NC, et al. (2005) Pancreatic and peripancreatic diseases mimicking primary pancreatic neoplasia. Radiographics 25:949–965PubMedCrossRef
27.
go back to reference Klein KA, Stephens DH, Welch TJ (1998) CT characteristics of metastatic disease of the pancreas. Radiographics 18(2):369–378PubMed Klein KA, Stephens DH, Welch TJ (1998) CT characteristics of metastatic disease of the pancreas. Radiographics 18(2):369–378PubMed
28.
go back to reference Eidt S, Jergas M, Schmidt R, Seidek M (2007) Metastasis to the pancreas-an indication for pancreatic resection? Langenbecks Arch Surg 392:539–542PubMedCrossRef Eidt S, Jergas M, Schmidt R, Seidek M (2007) Metastasis to the pancreas-an indication for pancreatic resection? Langenbecks Arch Surg 392:539–542PubMedCrossRef
29.
30.
go back to reference Nagata S, Yamaguchi K, Inoue T, et al. (2007) Solid pancreatic hamartoma. Pathol Int 57(5):276–280PubMedCrossRef Nagata S, Yamaguchi K, Inoue T, et al. (2007) Solid pancreatic hamartoma. Pathol Int 57(5):276–280PubMedCrossRef
31.
go back to reference Srinivasan V, Wayne J, Rao M, Zynger D (2008) Solitary fibrous tumor of the pancreas: case report with cytologic and surgical pathology correlation and review of the literature. J Pancreas 9(4):526–530 Srinivasan V, Wayne J, Rao M, Zynger D (2008) Solitary fibrous tumor of the pancreas: case report with cytologic and surgical pathology correlation and review of the literature. J Pancreas 9(4):526–530
32.
go back to reference Kwon H, Byun J, Kang J, Park S, Lee M (2008) Solitary fibrous tumor of the pancreas: imaging findings. Korean J Radiol 9:S48–S51PubMedCrossRef Kwon H, Byun J, Kang J, Park S, Lee M (2008) Solitary fibrous tumor of the pancreas: imaging findings. Korean J Radiol 9:S48–S51PubMedCrossRef
33.
go back to reference Ferrozzi F, Zuccoli G, Bova D, Caculli L (2000) Mesenchymal tumors of the pancreas: CT findings. J Comput Assist Tomogr 24(4):622–627PubMedCrossRef Ferrozzi F, Zuccoli G, Bova D, Caculli L (2000) Mesenchymal tumors of the pancreas: CT findings. J Comput Assist Tomogr 24(4):622–627PubMedCrossRef
34.
go back to reference Zhan HX, Zhang TP, Liu BN, Liao Q, Zhao YP (2010) A systematic review of pancreatic lipoma: how come there are so few cases? Pancreas 39(2):257–260PubMedCrossRef Zhan HX, Zhang TP, Liu BN, Liao Q, Zhao YP (2010) A systematic review of pancreatic lipoma: how come there are so few cases? Pancreas 39(2):257–260PubMedCrossRef
35.
go back to reference Ryan MF, Hamilton PA, Smith AJ, Khalifa M (2003) Radiologic features of pancreatic lipoma. Can Assoc Radiol J 54(1):41–44PubMed Ryan MF, Hamilton PA, Smith AJ, Khalifa M (2003) Radiologic features of pancreatic lipoma. Can Assoc Radiol J 54(1):41–44PubMed
36.
go back to reference Kim SH, Lee JM, Han JK, et al. (2008) Intrapancreatic accessory spleen: findings on MR Imaging, CT, US and scintigraphy, and the pathologic analysis. Korean J Radiol 9(2):162–174PubMedCrossRef Kim SH, Lee JM, Han JK, et al. (2008) Intrapancreatic accessory spleen: findings on MR Imaging, CT, US and scintigraphy, and the pathologic analysis. Korean J Radiol 9(2):162–174PubMedCrossRef
37.
go back to reference Mortelé K, Mortelé B, Silverman SG (2004) CT features of the accessory spleen. AJR Am J Roentgenol 183:1653–1657PubMedCrossRef Mortelé K, Mortelé B, Silverman SG (2004) CT features of the accessory spleen. AJR Am J Roentgenol 183:1653–1657PubMedCrossRef
38.
go back to reference Kim YH, Auh YH, Kim KW, et al. (1998) Lymphoepithelial cysts of the pancreas: CT and sonographic findings. Abdom Imaging 23(2):185–187PubMedCrossRef Kim YH, Auh YH, Kim KW, et al. (1998) Lymphoepithelial cysts of the pancreas: CT and sonographic findings. Abdom Imaging 23(2):185–187PubMedCrossRef
39.
go back to reference Barbaros U, Erbil Y, Kapran Y, et al. (2004) Lymphoepithelial cyst: a rare cystic tumor of the pancreas which mimics carcinoma. JOP 5(5):392–394PubMed Barbaros U, Erbil Y, Kapran Y, et al. (2004) Lymphoepithelial cyst: a rare cystic tumor of the pancreas which mimics carcinoma. JOP 5(5):392–394PubMed
40.
go back to reference Mandavilli SR, Port J, Ali SZ (1999) Lymphoepithelial cyst (LEC) of the pancreas: cytomorphology and differential diagnosis on fine-needle aspiration (FNA). Diagn Cytopathol 20(6):371–374PubMedCrossRef Mandavilli SR, Port J, Ali SZ (1999) Lymphoepithelial cyst (LEC) of the pancreas: cytomorphology and differential diagnosis on fine-needle aspiration (FNA). Diagn Cytopathol 20(6):371–374PubMedCrossRef
41.
go back to reference Mortelé K, Rocha T, Streeter J, Taylor AJ (2006) Multimodality imaging of pancreatic and biliary congential anomalies. Radiographics 26:715–771PubMedCrossRef Mortelé K, Rocha T, Streeter J, Taylor AJ (2006) Multimodality imaging of pancreatic and biliary congential anomalies. Radiographics 26:715–771PubMedCrossRef
42.
go back to reference Torra R, Nicolau C, Badenas C, et al. (1997) Ultrasonographic study of pancreatic cysts in autosomal dominant polycystic kidney disease. Clin Nephrol 47:19–22PubMed Torra R, Nicolau C, Badenas C, et al. (1997) Ultrasonographic study of pancreatic cysts in autosomal dominant polycystic kidney disease. Clin Nephrol 47:19–22PubMed
Metadata
Title
Imaging features of the less common pancreatic masses
Authors
Nancy A. Hammond
Frank H. Miller
Kevin Day
Paul Nikolaidis
Publication date
01-06-2013
Publisher
Springer-Verlag
Published in
Abdominal Radiology / Issue 3/2013
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-012-9922-2

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