RadioGraphics, Vol 18, 433-449, Copyright © 1998 by Radiological Society of North America

ARTICLES

From the Archives of the AFIP. Mucinous cystic neoplasms of the pancreas: radiologic-pathologic correlation

PC Buetow, P Rao and LD Thompson
Department of Radiologic Pathology, Armed Forces Institute of Pathology, Washington, DC 20306-6000, USA.

Mucinous cystic neoplasms of the pancreas are rare primary tumors. They have pathologic and clinical similarities to biliary cystadenomas of the liver and mucinous cystic tumors of the ovary. Mucinous cystic neoplasms of the pancreas typically affect middle-aged women and arise in the tail of the pancreas. Gross pathologic and imaging features usually are those of a large, multilocular cystic mass. There is, however, a spectrum of radiologic findings that overlaps with those of other entities including pancreatic pseudocyst, other primary epithelial and nonepithelial tumors of the pancreas, and metastases. In most cases, ultrasound and computed tomography are the mainstays for radiologic evaluation, with magnetic resonance imaging having a complementary role. All mucinous cystic neoplasms should be considered as mucinous cystadenocarcinomas of low-grade malignant potential. Complete surgical excision alone results in an excellent clinical outcome and disease-free survival, irrespective of histologic or radiologic parameters in over 90% of cases studied.

This article has been cited by other articles:

				N. Inan, A. Arslan, G. Akansel, Y. Anik, and A. Demirci Diffusion-Weighted Imaging in the Differential Diagnosis of Cystic Lesions of the Pancreas Am. J. Roentgenol., October 1, 2008; 191(4): 1115 - 1121. [Abstract] [Full Text] [PDF]

				D. V. Sahani, R. Kadavigere, A. Saokar, C. Fernandez-del Castillo, W. R. Brugge, and P. F. Hahn Cystic Pancreatic Lesions: A Simple Imaging-based Classification System for Guiding Management RadioGraphics, November 1, 2005; 25(6): 1471 - 1484. [Abstract] [Full Text] [PDF]

				Y. H. Kim, S. Saini, D. Sahani, P. F. Hahn, P. R. Mueller, and Y. H. Auh Imaging Diagnosis of Cystic Pancreatic Lesions: Pseudocyst versus Nonpseudocyst RadioGraphics, May 1, 2005; 25(3): 671 - 685. [Abstract] [Full Text] [PDF]

				W. R. Brugge, G. Y. Lauwers, D. Sahani, C. Fernandez-del Castillo, and A. L. Warshaw Cystic Neoplasms of the Pancreas N. Engl. J. Med., September 16, 2004; 351(12): 1218 - 1226. [Full Text] [PDF]

				P Manoharan and M B Sheridan Neoplasms of the pancreas Imaging, September 1, 2004; 16(4): 323 - 337. [Abstract] [Full Text] [PDF]

				M. D'Onofrio, S. Caffarri, G. Zamboni, M. Falconi, and G. Mansueto Contrast-Enhanced Ultrasonography in the Characterization of Pancreatic Mucinous Cystadenoma J. Ultrasound Med., August 1, 2004; 23(8): 1125 - 1129. [Full Text] [PDF]

				M K Kalra, M M Maher, P R Mueller, and S Saini State-of-the-art imaging of pancreatic neoplasms Br. J. Radiol., December 1, 2003; 76(912): 857 - 865. [Abstract] [Full Text] [PDF]

				T. C. Demos, H. V. Posniak, C. Harmath, M. C. Olson, and G. Aranha Cystic Lesions of the Pancreas Am. J. Roentgenol., December 1, 2002; 179(6): 1375 - 1388. [Full Text] [PDF]

				C. Matos, O. Cappeliez, C. Winant, E. Coppens, J. Deviere, and T. Metens MR Imaging of the Pancreas: A Pictorial Tour RadioGraphics, January 1, 2002; 22(1): e2 - e2. [Abstract] [Full Text]

				K. J. Mortele and A. J. Taylor Mucinous Cystic Tumors Am. J. Roentgenol., November 1, 2001; 177(5): 1217 - 1217. [Full Text] [PDF]

				H.-C. Yeh, A. Stancato-Pasik, and R. S. Shapiro Microcystic Features at US: A Nonspecific Sign for Microcystic Adenomas of the Pancreas RadioGraphics, November 1, 2001; 21(6): 1455 - 1461. [Abstract] [Full Text] [PDF]

				C. A. Curry, J. Eng, K. M. Horton, B. Urban, S. Siegelman, B. S. Kuszyk, and E. K. Fishman CT of Primary Cystic Pancreatic Neoplasms: Can CT be Used for Patient Triage and Treatment? Am. J. Roentgenol., July 1, 2000; 175(1): 99 - 103. [Abstract] [Full Text] [PDF]

				C. Procacci, A. J. Megibow, G. Carbognin, A. Guarise, E. Spoto, C. Biasiutti, and G. F. Pistolesi Intraductal Papillary Mucinous Tumor of the Pancreas: A Pictorial Essay RadioGraphics, November 1, 1999; 19(6): 1447 - 1463. [Abstract] [Full Text] [PDF]

				J. E. de Lima Jr, M. C. Javitt, and S. C. Mathur Residents' Teaching Files: Mucinous Cystic Neoplasm of the Pancreas RadioGraphics, May 1, 1999; 19(3): 807 - 811. [Full Text] [PDF]