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Difference between revisions of "Pancreas"
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rework more
(rework intro-- to cystic lesions) |
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| ductal adenocarcinoma | | ductal adenocarcinoma | ||
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==Cystic lesions of the pancreas== | ==Cystic lesions of the pancreas== | ||
===General | ===General=== | ||
*True cystic lesions are uncommon. | *True cystic lesions are uncommon. | ||
**A true cystic lesion: ''must'' have an epithelial lining. | **A true cystic lesion: ''must'' have an epithelial lining. | ||
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*It is hard to differentiate pseudocysts & cysts. | *It is hard to differentiate pseudocysts & cysts. | ||
=== | ===Cystic tumours - clinical=== | ||
General: | General: | ||
*Usually diagnosed by imaging (CT/MRI, ERCP, Endoscopic ultrasound). | *Usually diagnosed by imaging (CT/MRI, ERCP, Endoscopic ultrasound). | ||
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*Weight loss. | *Weight loss. | ||
*Jaundice. | *Jaundice. | ||
===Most important cystic lesions=== | |||
*Serous. | |||
*Mucinous. | |||
**Ovarian-like stroma. | |||
*Solid pseudopapillay tumours. | |||
*Intraductal papillary mucinous tumour (IPMT). | |||
**No ovarian-like stroma. | |||
Mnemonic ''SIMS'': Serous, IPMT, Mucinous, Solid pseudopapillary tumour. | |||
====Mucinous vs. IMPT==== | |||
IMPT: | |||
*No ovarian-like stroma. | |||
*Usually has total pancreatectomy. | |||
==Serous cystic tumours== | ==Serous cystic tumours== | ||