Published in:
02-10-2023 | Pancreatic Cyst | GI Image
Concomitant Serous Cystadenoma and Intraductal Papillary Mucinous Neoplasm in Pancreatic Cysts—a Diagnostic and Surgical Dilemma
Published in: Journal of Gastrointestinal Surgery | Issue 12/2023
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A 69-year-old woman was diagnosed in 2013 with 20 mm in diameter pancreatic cyst that on MRI revealed a connection with the main pancreatic duct (MPD) (Fig. 1a). This was considered a presumed Branch-duct intraductal papillary mucinous neoplasm (BD-IPMN) and no other worrisome features or high-risk stigmata were present; thus, she was enrolled in a surveillance program.
Fig. 1
a MRI images of the lesion. In the images on the left, a communication with the main pancreatic duct (MPD) cannot be excluded. Furthermore, two smaller independent cysts in close proximity of the MPD can be appreciated. b Resected pancreatic specimen shows both SCA and IPMN, c pathological slide showing the close relation between the two neoplasms, the serous cystadenoma (SCA) and the IPMN
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