Cystic lesions of the pancreas (differential)

Changed by Yuranga Weerakkody, 27 Feb 2018

Back to revision history

Updates to Article Attributes

Body was changed:

Show markup changes

The differential for cystic lesions of the pancreas includes:

unilocular
- pancreatic pseudocyst
- intraductal papillary mucinous neoplasms (IPMN)
- serous cystadenoma uncommonly uni/macrolocular
- pancreatic cysts occur in association with
macrocystic: multilocular
- mucinous cystic neoplasm(s) of pancreas: usually body and tail
- intraductal papillary mucinous neoplasms (IPMN)
- serous cystadenoma uncommonly uni/macrolocular
- acinar cell cystadenocarcinoma
microcystic
- serous cystadenoma: usually head; 30% have central scar
cystic with a solid component
- macrocystic tumours can also have a solid component
- solid pseudopapillary tumour of pancreas
- primary ductal pancreatic tumour with cystic degeneration
- cystic degeneration of islet cell tumours - cystic islet cell neoplasms
  - insulinoma
  - glucogonoma
cystic teratoma
metastases to pancreas

Retroperitoneal lesions, extrinsic to the pancreas, can of course mimic pancreatic cystic lesions, when close to the gland. Examples include:

cystic lymphadenopathy (e.g. necrotic)
duodenal diverticulum

~~-<li>cystic degeneration of islet cell tumours<ul>~~
+<li>cystic degeneration of islet cell tumours - <a title="cystic islet cell neoplasms" href="/articles/cystic-islet-cell-neoplasms">cystic islet cell neoplasms</a><ul>

References changed:

8. Karoumpalis I & Christodoulou D. Cystic Lesions of the Pancreas. Ann Gastroenterol. 2016;29(2):155-61. <a href="https://doi.org/10.20524/aog.2016.0007">doi:10.20524/aog.2016.0007</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/27065727">Pubmed</a>
9. Demos T, Posniak H, Harmath C, Olson M, Aranha G. Cystic Lesions of the Pancreas. AJR Am J Roentgenol. 2002;179(6):1375-88. <a href="https://doi.org/10.2214/ajr.179.6.1791375">doi:10.2214/ajr.179.6.1791375</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/12438020">Pubmed</a>
10. Khan A, Khosa F, Eisenberg R. Cystic Lesions of the Pancreas. AJR Am J Roentgenol. 2011;196(6):W668-77. <a href="https://doi.org/10.2214/AJR.10.4378">doi:10.2214/AJR.10.4378</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/21606252">Pubmed</a>

ADVERTISEMENT: Supporters see fewer/no ads

{"current_user":null,"inclusions":[{"imageId":27669,"studyId":7947,"caseSlug":"pancreatic-pseudocysts-1","caption":"Case 1: pancreatic pseudocysts","thumbnail":"https://prod-images-static.radiopaedia.org/images/27669/5d8d31ec00e691d59880874a171d38_big_gallery.jpg","isStack":true,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":269789,"studyId":9348,"caseSlug":"solid-pseudopapillary-tumour-of-the-pancreas-9","caption":"Case 2: solid pseudopapillary tumor","thumbnail":"https://prod-images-static.radiopaedia.org/images/269789/d7cbe0f3ddd052514326df749959d1_big_gallery.jpg","isStack":true,"diagnosticCertainty":"probable"},{"imageId":1304498,"studyId":14508,"caseSlug":"pancreatic-mucinous-cystadenoma","caption":"Case 3: mucinous cystadenoma of pancreas","thumbnail":"https://prod-images-static.radiopaedia.org/images/1304498/cf4e932dc0a123e63a4f9da7642cfa_big_gallery.jpg","isStack":true,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":2922399,"studyId":21617,"caseSlug":"solid-pseudopapillary-tumour-of-the-pancreas","caption":"Case 4: solid pseudopapillary tumor","thumbnail":"https://prod-images-static.radiopaedia.org/images/2922399/bbebbe1822409b7706a73381445388_big_gallery.jpg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":38714528,"studyId":67796,"caseSlug":"von-hippel-lindau-disease-pancreatic-manifestations","caption":"Case 5: Von Hippel-Lindau disease ","thumbnail":"https://prod-images-static.radiopaedia.org/images/38714528/78efebe281c1a2ebd3edd0d7c38c65_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":18004678,"studyId":44476,"caseSlug":"pancreatic-hydatid-cyst","caption":"Case 6: pancreatic hydatid cyst","thumbnail":"https://prod-images-static.radiopaedia.org/images/18004678/b90d76eef081af0b411e8e505ff98b_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"probable"},{"imageId":57090678,"studyId":116786,"caseSlug":"abdominal-splenosis-1","caption":"Case 7: pancreatic pseudocyst ","thumbnail":"https://prod-images-static.radiopaedia.org/images/57090678/c9e1ca5b6f72c467d8f4ef65b13eb183685fc2ffa15c3ab04a5dcab2c6df7fb4_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_unsubstantiated"},{"imageId":52040547,"studyId":85155,"caseSlug":"pancreatic-neuroendocrine-tumour-cystic","caption":"Case 8: pancreatic neuroendocrine tumor - cystic","thumbnail":"https://prod-images-static.radiopaedia.org/images/52040547/2af73f81f6db52ae822de65b896fec_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"},{"imageId":62716210,"studyId":138325,"caseSlug":"simple-pancreatic-cyst","caption":"Case 9: pancreatic simple cyst","thumbnail":"https://prod-images-static.radiopaedia.org/images/62716210/2ae64e8df3bc846c72387a0b1afd2ab8385536321fc628caf316dd13366d8c37_big_gallery.jpeg","isStack":true,"diagnosticCertainty":"confirmed_unsubstantiated"}],"ddx_inclusions":[{"imageId":1295809,"studyId":14470,"caseSlug":"duodenal-diverticulum-3","caption":"Duodenal diverticulum","thumbnail":"https://prod-images-static.radiopaedia.org/images/1295809/996a989b462ef1baf845f60ebc3b5e_big_gallery.jpg","isStack":true,"diagnosticCertainty":"confirmed_substantiated"}],"lang":"us"}

Updating… Please wait.

Unable to process the form. Check for errors and try again.

Thank you for updating your details.

Cystic lesions of the pancreas (differential)

Updates to Article Attributes

Articles

By Section:

By System:

Cases

Radiopaedia.org