Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Konkret geht es um den Diabetes-Patienten mit kardiovaskulären Erkrankungen oder Risiken, die Herzinsuffizienz sowie die kardiovaskuläre Primär- und Sekundärprävention. Sind Sie hier schon auf dem neuesten Stand? Unsere Experten beleuchten, wo und warum das bisherige Procedere geändert werden soll und was in der Praxis sinnvoll ist. Holen Sie sich Ihr Update und 2 CME-Punkte beim MMW-Webinar am 24. April von 17.30 bis 19 Uhr. 
Erweiterte Suche
Anmelden
nach oben
Abdominal Radiology
Erschienen in: Abdominal Radiology 1/2014

01.02.2014 | Update

Magnetic resonance imaging of cystic pancreatic lesions in adults: an update in current diagnostic features and management

verfasst von: Matthias Barral, Philippe Soyer, Anthony Dohan, Valérie Laurent, Christine Hoeffel, Elliot K. Fishman, Mourad Boudiaf

Erschienen in: Abdominal Radiology | Ausgabe 1/2014

Einloggen, um Zugang zu erhalten

Abstract

Magnetic resonance (MR) imaging has become a widespread diagnostic solving tool for the detection and characterization of a large range of pancreatic cystic lesions. Benign and malignant cystic lesions of the pancreas including serous microcystic adenoma, mucinous cystic tumor, intraductal papillary mucinous tumor, solid pseudopapillary tumor, and also the less common lesions such as cystic endocrine tumors, cystic metastases, and lymphangiomas have suggestive MR imaging presentation that allows them to be differentiated from each other. Knowledge of MR imaging findings of cystic pancreatic lesions is critical to help suggest the diagnosis and chose the best therapeutic approach. The purpose of this review is to discuss and illustrate MR imaging features that are helpful for pancreatic cystic lesion detection and characterization and to provide an update in current MR imaging diagnostic features and management.
Literatur
1.
Laffan TA, Horton KM, Klein AP, et al. (2008) Prevalence of unsuspected pancreatic cysts on MDCT. Am J Roentgenol 191:802–807
2.
Tirkes T, Menias CO, Sandrasegaran K (2012) MR imaging techniques for pancreas. Radiol Clin North Am 50:379–393PubMed
3.
Soyer P, Lagadec M, Sirol M, et al. (2010) Free-breathing diffusion-weighted single-shot echo-planar MR imaging using parallel imaging (GRAPPA 2) and high b value for the detection of primary rectal adenocarcinoma. Cancer Imaging 10:32–39PubMedCentralPubMed
4.
Taouli B, Martin AJ, Qayyum A, et al. (2004) Parallel imaging and diffusion tensor imaging for diffusion-weighted MRI of the liver: preliminary experience in healthy volunteers. Am J Roentgenol 183:677–680
5.
Yoshikawa T, Ohno Y, Kawamitsu H, et al. (2008) Abdominal apparent diffusion coefficient measurements: effect of diffusion-weighted image quality and usefulness of anisotropic images. Magn Reson Imaging 26:1415–1420PubMed
6.
Barral M, Soyer P, Ben Hassen W, et al. (2013) Diffusion-weighted MR imaging of the normal pancreas: reproducibility and variations of apparent diffusion coefficient measurement at 1.5- and 3.0-Tesla. Diagn Interv Imaging 94:418–427PubMed
7.
Arrivé L, Coudray C, Azizi L, et al. (2007) Pineapple juice as a negative oral contrast agent in magnetic resonance cholangiopancreatography. J Radiol 88:1689–1694PubMed
8.
Sahani DV, Kadavigere R, Saokar A, et al. (2005) Cystic pancreatic lesions: a simple imaging-based classification system for guiding management. Radiographics 25:1471–1484PubMed
9.
Gabata T, Matsui O, Kadoya M, et al. (1994) Small pancreatic adenocarcinomas: efficacy of MR imaging with fat suppression and gadolinium enhancement. Radiology 193:683–688PubMed
10.
Göhde SC, Toth J, Krestin GP, Debatin JF (1997) Dynamic contrast-enhanced FMPSPGR of the pancreas: impact on diagnostic performance. Am J Roentgenol 168:689–696
11.
Mitchell DG, Vinitski S, Saponaro S, et al. (1991) Liver and pancreas: improved spin-echo T1 contrast by shorter echo time and fat suppression at 1.5 T. Radiology 178:67–71PubMed
12.
Semelka RC, Ascher SM (1993) MR imaging of the pancreas. Radiology 188:593–602PubMed
13.
Zhong L, Xiao SD, Stoker J, Nj Tytgat G (2004) Magnetic resonance cholangiopancreatography. Chin J Dig Dis 5:139–148PubMed
14.
Tirkes T, Akisik F, Tann M, Balci NC (2009) Imaging of the pancreas with secretin enhancement. Top Magn Reson Imaging 20:19–24PubMed
15.
Balci NC, Momtahen AJ, Akduman EI, et al. (2008) Diffusion-weighted MRI of the pancreas: correlation with secretin endoscopic pancreatic function test (ePFT). Acad Radiol 15:1264–1268PubMed
16.
Barral M, Sebbag-Sfez D, Hoeffel C, et al. (2013) Characterization of focal pancreatic lesions using normalized apparent diffusion coefficient at 1.5-Tesla: preliminary experience. Diagn Interv Imaging 94:619–627PubMed
17.
Mottola JC, Sahni VA, Erturk SM, et al. (2012) Diffusion-weighted MRI of focal cystic pancreatic lesions at 3.0-Tesla: preliminary results. Abdom Imaging 37:110–117PubMed
18.
Schraibman V, Goldman SM, Ardengh JC, et al. (2011) New trends in diffusion-weighted magnetic resonance imaging as a tool in differentiation of serous cystadenoma and mucinous cystic tumor: a prospective study. Pancreatology 11:43–51PubMed
19.
Kimura W, Nagai H, Kurodu A (1995) Analysis of small cystic lesions of the pancreas. Int J Pancreatol 18:197–206PubMed
20.
Valsangkar N, Morales-Oyarvide V, Thayer S, et al. (2012) 851 resected cystic tumors of the pancreas: a 33-year experience at the Massachusetts General Hospital. Surgery 152:4–12
21.
Talamini MA, Pitt HA, Hruban RH, et al. (1992) Spectrum of cystic tumors of the pancreas. Am J Surg 163:117–123PubMed
22.
Kosmahl M, Pauser U, Peters K, et al. (2004) Cystic neoplasms of the pancreas and tumor-like lesions with cystic features: a review of 418 cases and a classification proposal. Virchows Arch 445:168–178PubMed
23.
de Jong K, Nio CY, Hermans JJ, et al. (2010) High prevalence of pancreatic cysts detected by screening magnetic resonance imaging examinations. Clin Gastroenterol Hepatol 8:806–811PubMed
24.
Lee KS, Sekhar A, Rofsky NM, Pedrosa I (2010) Prevalence of incidental pancreatic cysts in the adult population on MR imaging. Am J Gastroenterol 105:2079–2084PubMed
25.
Basturk O, Coban I, Adsay NV (2009) Pancreatic cysts: pathologic classification, differential diagnosis, and clinical implications. Arch Pathol Lab Med 133:423–438PubMed
26.
Ballarin R, Masetti M, Losi L, et al. (2009) Cystic pancreatic neuroendocrine neoplasms with uncertain malignant potential: report of two cases. Surg Today 39:162–167PubMed
27.
Adsay NV (2001) Centrally necrotic invasive ductal carcinoma of the pancreas presenting clinically as macrocystic lesions. Mod Pathol 14:191
28.
Adsay VN (2008) Cystic neoplasia of the pancreas: pathology and biology. J Gastrointest Surg 12:401–404PubMed
29.
Igarashi A, Maruo Y, Ito T, et al. (2001) Huge cystic lymphangioma of the pancreas: report of a case. Surg Today 31:743–746PubMed
30.
Schneider G, Seidel R, Altmeyer K, et al. (2001) Lymphangioma of the pancreas and the duodenal wall: MR imaging findings. Eur Radiol 11:2232–2235PubMed
31.
Koenig TR, Loyer EM, Whitman GJ, Raymond AK, Charnsangavej C (2001) Cystic lymphangioma of the pancreas. Am J Roentgenol 177:1090
32.
Gray G, Fried K, Iraci J (1998) Cystic lymphangioma of the pancreas: CT and pathologic findings. Abdom Imaging 23:78–80PubMed
33.
Hanelin LG, Schimmel DH (1977) Lymphangioma of the pancreas exhibiting an unusual pattern of calcification. Radiology 122:636PubMed
34.
Khandelwal M, Lichtenstein GR, Morris JB, Furth EE, Long WB (1995) Abdominal lymphangioma masquerading as a pancreatic cystic neoplasm. J Clin Gastroenterol 20:142–144PubMed
35.
Abe H, Kubota K, Noie T, Bandai Y, Makuuchi M (1997) Cystic lymphangioma of the pancreas: a case report with special reference to embryological development. Am J Gastroenterol 92:1566–1567PubMed
36.
Paal E, Thompson LD, Heffess CS (1998) A clinicopathologic and immunohistochemical study of ten pancreatic lymphangiomas and a review of the literature. Cancer 1(82):2150–2158
37.
Beger HG, Rau B, Mayer J, Pralle U (1997) Natural course of acute pancreatitis. World J Surg 21:130–135PubMed
38.
Fishman EK, Soyer P, Bliss DF, Bluemke DA, Devine N (1995) Splenic involvement in pancreatitis: spectrum of CT findings. Am J Roentgenol 164:631–635
39.
Garcea G, Ong SL, Rajesh A, et al. (2008) Cystic lesions of the pancreas. A diagnostic and management dilemma. Pancreatology 8:236–251PubMed
40.
Singhal D, Kakodkar R, Sud R, Chaudhary A (2006) Issues in management of pancreatic pseudocysts. JOP 7:502–507PubMed
41.
Lankisch PG, Weber-Dany B, Maisonneuve P, Lowenfels AB (2012) Pancreatic pseudocysts: prognostic factors for their development and their spontaneous resolution in the setting of acute pancreatitis. Pancreatology 12:85–90PubMed
42.
Mullins RJ, Malangoni MA, Bergamini TM, Casey JM, Richardson JD (1988) Controversies in the management of pancreatic pseudocysts. Am J Surg 155:165–172PubMed
43.
Baron TH, Morgan DE (1997) The diagnosis and management of fluid collections associated with pancreatitis. Am J Med 102:555–563PubMed
44.
Arvanitakis M, Delhaye M, De Maertelaere V, et al. (2004) Computed tomography and magnetic resonance imaging in the assessment of acute pancreatitis. Gastroenterology 126:715–723PubMed
45.
Choi JY, Kim MJ, Lee JY, et al. (2009) Typical and atypical manifestations of serous cystadenoma of the pancreas: imaging findings with pathologic correlation. Am J Roentgenol 193:136–142
46.
Malleo G, Bassi C, Rossini R, et al. (2012) Growth pattern of serous cystic neoplasms of the pancreas: observational study with long-term magnetic resonance surveillance and recommendations for treatment. Gut 61:746–751PubMed
47.
Manfredi R, Bonatti M, D’Onofrio M, et al. (2013) Incidentally discovered benign pancreatic cystic neoplasms not communicating with the ductal system: MR/MRCP imaging appearance and evolution. Radiol Med 118:163–180PubMed
48.
Farrell JJ, Fernández-Del Castillo C (2013) Pancreatic cystic neoplasms: management and unanswered questions. Gastroenterology 144:1303–1315PubMed
49.
Soyer P, Rabenandrasana A, Van Beers B, et al. (1994) Cystic tumors of the pancreas: dynamic CT studies. J Comput Assist Tomogr 18:420–426PubMed
50.
Buck JL, Hayes WS (1990) From the archives of the AFIP. Microcystic adenoma of the pancreas. Radiographics 10:313–322PubMed
51.
Sakorafas GH, Smyrniotis V, Reid-Lombardo KM, Sarr MG (2012) Primary pancreatic cystic neoplasms of the pancreas revisited. Part IV: rare cystic neoplasms. Surg Oncol 21:153–163PubMed
52.
Khurana B, Mortelé KJ, Glickman J, Silverman SG, Ros PR (2003) Macrocystic serous adenoma of the pancreas: radiologic–pathologic correlation. Am J Roentgenol 181:119–123
53.
Gouhiri M, Soyer P, Barbagelatta M, Rymer R (1999) Macrocystic serous cystadenoma of the pancreas: CT and endosonographic features. Abdom Imaging 24:72–74PubMed
54.
Wadsworth DT, Newman B, Abramson SJ, Carpenter BL, Lorenzo RL (1997) Splenic lymphangiomatosis in children. Radiology 202:173–176PubMed
55.
de Perrot M, Rostan O, Morel P, Le Coultre C (1998) Abdominal lymphangioma in adults and children. Br J Surg 85:395–397PubMed
56.
Kudo D, Hashimoto N, Toyoki Y, Narumi S, Hakamada K (2011) Usefulness of in-phase and out-of-phase magnetic resonance imaging for the detection of pancreatic lymphoepithelial cyst. Hepatogastroenterology 58:1403–1405PubMed
57.
Yamaguchi T, Takahashi H, Kagawa R, et al. (2008) Lymphoepithelial cyst of the pancreas associated with elevated CA 19-9 levels. J Hepatobiliary Pancreat Surg 15:652–654PubMed
58.
Liu J, Shin HJ, Rubenchik I, et al. (1999) Cytologic features of lymphoepithelial cyst of the pancreas: two preoperatively diagnosed cases based on fine-needle aspiration. Diagn Cytopathol 21:346–350PubMed
59.
Matrone A, Russo M, Mollica C, et al. (2010) Lymphoepithelial pancreatic cyst: an atypical benign pancreatic mass presenting with a “cheerios-like” appearance. JOP 11:170–172PubMed
60.
van Asselt SJ, de Vries EG, van Dullemen HM, et al. (2013) Pancreatic cyst development: insights from von Hippel–Lindau disease. Cilia 2:3PubMedCentralPubMed
61.
Lamiell JM, Salazar FG, Hsia YE (1989) von Hippel–Lindau disease affecting 43 members of a single kindred. Medicine (Baltimore) 68:1–29
62.
Neumann HP, Dinkel E, Brambs H, et al. (1991) Pancreatic lesions in the von Hippel–Lindau syndrome. Gastroenterology 101:465–471PubMed
63.
Mergo PJ, Helmberger TK, Buetow PC, Helmberger RC, Ros PR (1997) Pancreatic neoplasms: MR imaging and pathologic correlation. Radiographics 17:281–301PubMed
64.
Chambers TP, Fishman EK, Hruban RH (1997) Pancreatic metastases from renal cell carcinoma in von Hippel–Lindau disease. Clin Imaging 21:40–42PubMed
65.
Hammel PR, Vilgrain V, Terris B, et al. (2000) Pancreatic involvement in von Hippel–Lindau disease. Groupe Francophone d’Etude de la Maladie de von Hippel–Lindau. Gastroenterology 119:1087–1095PubMed
66.
Horton WA, Wong V, Eldridge R (1976) Von Hippel–Lindau disease: clinical and pathological manifestations in nine families with 50 affected members. Arch Intern Med 136:769–777PubMed
67.
Soyer P, Spelle L, Pelage JP, et al. (1999) Cystic fibrosis in adolescents and adults: fatty replacement of the pancreas—CT evaluation and functional correlation. Radiology 210:611–615PubMed
68.
Lugo-Olivieri CH, Soyer PA, Fishman EK (1998) Cystic fibrosis: spectrum of thoracic and abdominal CT findings in the adult patient. Clin Imaging 22:346–354PubMed
69.
Agrons GA, Corse WR, Markowitz RI, Suarez ES, Perry DR (1996) Gastrointestinal manifestations of cystic fibrosis: radiologic–pathologic correlation. Radiographics 16:871–893PubMed
70.
Hernanz-Schulman M, Teele RL, Perez-Atayde A, et al. (1986) Pancreatic cystosis in cystic fibrosis. Radiology 158:629–631PubMed
71.
Higashihara E, Aso Y, Shimazaki J, et al. (1992) Clinical aspects of polycystic kidney disease. J Urol 147:329–332PubMed
72.
Torres VE, Harris PC (2009) Autosomal dominant polycystic kidney disease: the last 3 years. Kidney Int 76:149–168PubMedCentralPubMed
73.
de Lima JE, Jr JM, Mathur SC (1999) Mucinous cystic neoplasm of the pancreas. Radiographics 19:807–811PubMed
74.
Campbell F, Azadeh B (2008) Cystic neoplasms of the exocrine pancreas. Histopathology 52:539–551PubMed
75.
Ng DZ, Goh BK, Tham EH, Young SM, Ooi LL (2009) Cystic neoplasms of the pancreas: current diagnostic modalities and management. Ann Acad Med Singapore 38:251–259PubMed
76.
O’Toole D, Palazzo L, Hammel P, et al. (2004) Macrocystic pancreatic cystadenoma: the role of EUS and cyst fluid analysis in distinguishing mucinous and serous lesions. Gastrointest Endosc 59:823–829PubMed
77.
Buetow PC, Rao P, Thompson LD (1998) From the archives of the AFIP. Mucinous cystic neoplasms of the pancreas: radiologic–pathologic correlation. Radiographics 18:433–449PubMed
78.
Goh BK, Tan YM, Chung YF, et al. (2006) A review of mucinous cystic neoplasms of the pancreas defined by ovarian-type stroma: clinicopathological features of 344 patients. World J Surg 30:2236–2245PubMed
79.
Lundstedt C, Dawiskiba S (2000) Serous and mucinous cystadenoma/cystadenocarcinoma of the pancreas. Abdom Imaging 25:201–206PubMed
80.
Crippa S, Salvia R, Warshaw AL, et al. (2008) Mucinous cystic neoplasm of the pancreas is not an aggressive entity: lessons from 163 resected patients. Ann Surg 247:571–579PubMedCentralPubMed
81.
Sarr MG, Carpenter HA, Prabhakar LP, et al. (2000) Clinical and pathologic correlation of 84 mucinous cystic neoplasms of the pancreas: can one reliably differentiate benign from malignant (or premalignant) neoplasms? Ann Surg 231:205–212PubMed
82.
Katz MH, Mortenson MM, Wang H, et al. (2008) Diagnosis and management of cystic neoplasms of the pancreas: an evidence-based approach. J Am Coll Surg 207:106–120PubMed
83.
Baiocchi GL, Portolani N, Grazioli L, et al. (2013) Management of pancreatic intraductal papillary mucinous neoplasm in an academic hospital (2005–2010): what follow-up for unoperated patients? Pancreas 42:696–700PubMed
84.
Tanaka M, Fernández-del Castillo C, Adsay V, et al. (2012) International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology 12:183–197PubMed
85.
Waters JA, Schmidt CM, Pinchot JW, et al. (2008) CT vs MRCP: optimal classification of IPMN type and extent. J Gastrointest Surg 12:101–109PubMed
86.
Lim JH, Zen Y, Jang KT, Kim YK, Nakanuma Y (2011) Cyst-forming intraductal papillary neoplasm of the bile ducts: description of imaging and pathologic aspects. Am J Roentgenol 197:1111–1120
87.
Song SJ, Lee JM, Kim YJ, et al. (2007) Differentiation of intraductal papillary mucinous neoplasms from other pancreatic cystic masses: comparison of multirow-detector CT and MR imaging using ROC analysis. J Magn Reson Imaging 26:86–93PubMed
88.
Procacci C, Carbognin G, Biasiutti C, et al. (2001) Intraductal papillary mucinous tumors of the pancreas: spectrum of CT and MR findings with pathologic correlation. Eur Radiol 11:1939–1951PubMed
89.
Manfredi R, Graziani R, Motton M, et al. (2009) Main pancreatic duct intraductal papillary mucinous neoplasms: accuracy of MR imaging in differentiation between benign and malignant tumors compared with histopathologic analysis. Radiology 253:106–115PubMed
90.
Serikawa M, Sasaki T, Fujimoto Y, Kuwahara K, Chayama K (2006) Management of intraductal papillary-mucinous neoplasm of the pancreas: treatment strategy based on morphologic classification. J Clin Gastroenterol 40:856–862PubMed
91.
D’Angelica M, Brennan MF, Suriawinata AA, Klimstra D, Conlon KC (2004) Intraductal papillary mucinous neoplasms of the pancreas: an analysis of clinicopathologic features and outcome. Ann Surg 239:400–408PubMed
92.
Fujino Y, Matsumoto I, Ueda T, Toyama H, Kuroda Y (2007) Proposed new score predicting malignancy of intraductal papillary mucinous neoplasms of the pancreas. Am J Surg 194:304–307PubMed
93.
Klotz T, Da Ines D, Petitcolin V, et al. (2013) Solid pseudopapillary neoplasm of the pancreas. Diagn Interv Imaging 94:1169–1174
94.
Coleman KM, Doherty MC, Bigler SA (2003) Solid-pseudopapillary tumor of the pancreas. Radiographics 23:1644–1648PubMed
95.
Ganeshan DM, Paulson E, Tamm EP, et al. (2013) Solid pseudo-papillary tumors of the pancreas: current update. Abdom Imaging 38:1373–1382
96.
Yu MH, Lee JY, Kim MA, et al. (2010) MR imaging features of small solid pseudopapillary tumors: retrospective differentiation from other small solid pancreatic tumors. Am J Roentgenol 195:1324–1332
97.
Choi JY, Kim MJ, Kim JH, et al. (2006) Solid pseudopapillary tumor of the pancreas: typical and atypical manifestations. Am J Roentgenol 187:178–186
98.
Kawamoto S, Scudiere J, Hruban RH, et al. (2011) Solid-pseudopapillary neoplasm of the pancreas: spectrum of findings on multidetector CT. Clin Imaging 35:21–28PubMed
99.
Reddy S, Cameron JL, Scudiere J, et al. (2009) Surgical management of solid-pseudopapillary neoplasms of the pancreas (Franz or Hamoudi tumors): a large single-institutional series. J Am Coll Surg 208:950–957PubMedCentralPubMed
100.
Warshaw AL, Fernández-del Castillo C (1992) Pancreatic carcinoma. N Engl J Med 13(326):455–465
101.
Adsay NV, Pierson C, Sarkar F, et al. (2001) Colloid (mucinous noncystic) carcinoma of the pancreas. Am J Surg Pathol 25:26–42PubMed
102.
Lee LY, Hsu HL, Chen HM, Hsueh C (2003) Ductal adenocarcinoma of the pancreas with huge cystic degeneration: a lesion to be distinguished from pseudocyst and mucinous cystadenocarcinoma. Int J Surg Pathol 11:235–239PubMed
103.
Kosmahl M, Pauser U, Anlauf M, Klöppel G (2005) Pancreatic ductal adenocarcinomas with cystic features: neither rare nor uniform. Mod Pathol 18:1157–1164PubMed
104.
Cubilla AL, Fitzgerald PJ (1985) Cancer of the exocrine pancreas: the pathologic aspects. CA Cancer J Clin 35:2–18PubMed
105.
Lin A, Feller ER (1990) Pancreatic carcinoma as a cause of unexplained pancreatitis: report of ten cases. Ann Intern Med 15(113):166–167
106.
Greenberg RE, Bank S, Stark B (1990) Adenocarcinoma of the pancreas producing pancreatitis and pancreatic abscess. Pancreas 5:108–113PubMed
107.
Imamura M, Asahi S, Yamauchi H, Tadokoro K, Suzuki H (2002) Minute pancreatic carcinoma with initial symptom of acute pancreatitis. J Hepatobiliary Pancreat Surg 9:632–636PubMed
108.
Halfdanarson TR, Rubin J, Farnell MB, Grant CS, Petersen GM (2008) Pancreatic endocrine neoplasms: epidemiology and prognosis of pancreatic endocrine tumours. Endocr Relat Cancer 15:409–427PubMedCentralPubMed
109.
Solcia E, Klöppel G, Sobin LH (2000) Histological typing of endocrine tumor, WHO International Histological Classification of Tumours, 2nd edn. Berlin: Springer
110.
Ligneau B, Lombard-Bohas C, Partensky C, et al. (2001) Cystic endocrine tumors of the pancreas: clinical, radiologic, and histopathologic features in 13 cases. Am J Surg Pathol 25:752–760PubMed
111.
Buetow PC, Parrino TV, Buck JL, et al. (1995) Islet cell tumors of the pancreas: pathologic-imaging correlation among size, necrosis and cysts, calcification, malignant behavior, and functional status. Am J Roentgenol 165:1175–1179
112.
Ahrendt SA, Komorowski RA, Demeure MJ, Wilson SD, Pitt HA (2002) Cystic pancreatic neuroendocrine tumors: is preoperative diagnosis possible? J Gastrointest Surg 6:66–74PubMed
113.
Goh BK, Ooi LL, Tan YM, et al. (2006) Clinico-pathological features of cystic pancreatic endocrine neoplasms and a comparison with their solid counterparts. Eur J Surg Oncol 32:553–556PubMed
114.
Kawamoto S, Johnson PT, Shi C, et al. (2013) Pancreatic neuroendocrine tumor with cystlike changes: evaluation with MDCT. Am J Roentgenol 200:283–290
115.
Horton KM, Hruban RH, Yeo C, Fishman EK (2006) Multi-detector row CT of pancreatic islet cell tumors. Radiographics 26:453–464PubMed
116.
Singhi AD, Chu LC, Tatsas AD, et al. (2012) Cystic pancreatic neuroendocrine tumors: a clinicopathologic study. Am J Surg Pathol 36:1666–1673PubMed
117.
Federle MP, McGrath KM (2007) Cystic neoplasms of the pancreas. Gastroenterol Clin N Am 36:365–376
118.
Kouvaraki MA, Solorzano CC, Shapiro SE, et al. (2005) Surgical treatment of non-functioning pancreatic islet cell tumors. J Surg Oncol 1(89):170–185
119.
Kouvaraki MA, Ajani JA, Hoff P, et al. (2004) Fluorouracil, doxorubicin, and streptozocin in the treatment of patients with locally advanced and metastatic pancreatic endocrine carcinomas. J Clin Oncol 22:4762–4771PubMed
120.
Colarian J, Fowler D, Schor J, Poolos S (2000) Squamous cell carcinoma of the pancreas with cystic degeneration. South Med J 93:821–822PubMed
121.
Oehler U, Jürs M, Klöppel G, Helpap B (1997) Osteoclast-like giant cell tumour of the pancreas presenting as a pseudocyst-like lesion. Virchows Arch 431:215–218PubMed
122.
Adsay NV, Andea A, Basturk O, et al. (2004) Secondary tumors of the pancreas: an analysis of a surgical and autopsy database and review of the literature. Virchows Arch 444:527–535PubMed
123.
Ramirez Plaza CP, Suàrez Muñoz MA, Santoyo Santoyo J, et al. (2001) Pancreatic cystic metastasis from pulmonary carcinoma. Report of a case. Ann Ital Chir 72:95–99PubMed
124.
Konstantinidis IT, Dursun A, Zheng H, et al. (2010) Metastatic tumors in the pancreas in the modern era. J Am Coll Surg 211:749–753PubMedCentralPubMed
Metadaten
Titel
Magnetic resonance imaging of cystic pancreatic lesions in adults: an update in current diagnostic features and management
verfasst von
Matthias Barral
Philippe Soyer
Anthony Dohan
Valérie Laurent
Christine Hoeffel
Elliot K. Fishman
Mourad Boudiaf
Publikationsdatum
01.02.2014
Verlag
Springer US
Erschienen in
Abdominal Radiology / Ausgabe 1/2014
Print ISSN: 2366-004X
Elektronische ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-013-0048-y

Weitere Artikel der Ausgabe 1/2014

Abdominal Radiology 1/2014 Zur Ausgabe

OriginalPaper

Patterns of FDG uptake in pancreatic non-Hodgkin’s lymphoma lesions

ReviewPaper

MRI of anal cancer: assessing response to definitive chemoradiotherapy

News

SAR News

OriginalPaper

Diffusion-weighted MRI in bladder carcinoma: the differentiation between tumor recurrence and benign changes after resection

ReviewPaper

Staging, surveillance, and evaluation of response to therapy in renal cell carcinoma: role of MDCT

Pictorial Essay

Flat lesions missed at conventional colonoscopy (CC) and visualized by CT colonography (CTC): a pictorial essay

Neu im Fachgebiet Radiologie

18.04.2024 | Pädiatrische Notfallmedizin | Nachrichten

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

08.04.2024 | Andrologie | Nachrichten

Wie toxische Männlichkeit der Gesundheit von Männern schadet

29.03.2024 | Diagnostische Radiologie | Nachrichten

Studie bestätigt Potenzial von KI in der Radiologie

26.03.2024 | Koronare Herzerkrankung | Nachrichten

Quantitative Angiografie könnte IVUS-Alternative darstellen
weitere anzeigen

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen