Journal ArticleDOI
Intrapancreatic accessory spleen: clinicopathologic analysis of 12 cases.
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TLDR
Intrapancreatic accessory spleen with or without epidermoid cyst should be considered as differential diagnoses when well-enhanced solid or cystic tumors are found in the pancreatic tail.Abstract:
Objectives:Intrapancreatic accessory spleen is a benign lesion that mimics hypervascular or cystic pancreatic neoplasm. A comprehensive clinicopathologic analysis has not yet been reported.Methods:We described the clinicopathologic characteristics of 12 cases of pathologically proven intrapancreaticread more
Citations
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Journal ArticleDOI
Gastroenteropancreatic Neuroendocrine Tumors: Role of Imaging in Diagnosis and Management
TL;DR: Morphologic imaging with contrast agent-enhanced multidetector computed tomography and magnetic resonance imaging is most widely used for initial evaluation and staging of disease in GEP-NETs, whereas functional imaging techniques are useful both for detection and prognostic evaluation and can change treatment planning.
Journal ArticleDOI
Differentiation of an intrapancreatic accessory spleen from a small (<3-cm) solid pancreatic tumor: value of diffusion-weighted MR imaging.
TL;DR: In addition to conventional morphologic MR imaging, DW imaging can be used as a tool for differentiating IPAS from solid pancreatic tumors.
Journal ArticleDOI
Diffusion-weighted MRI: usefulness for differentiating intrapancreatic accessory spleen and small hypervascular neuroendocrine tumor of the pancreas
Bo-Kyeong Kang,Jin Hee Kim,Jae Ho Byun,Seung Soo Lee,Hyoung Jung Kim,So Yeon Kim,Moon-Gyu Lee +6 more
TL;DR: Visual assessment of DWI and ADC quantification were useful in differentiating IPAS from small hypervascular NET of the pancreas.
Journal ArticleDOI
Fine-needle aspiration of intrapancreatic accessory spleen: Cytomorphologic features and differential diagnosis
TL;DR: There are few reports of the cytopathologic features of IPAS diagnosed by fine‐needle aspiration (FNA), and, if recognized, do not require surgical intervention.
Journal ArticleDOI
Epidermoid cyst in intrapancreatic accessory spleen: computed tomography findings and clinical manifestation
TL;DR: The diagnosis of an ECIPAS should be considered when enhancing the cystic wall of the lesion in the pancreatic tail similar to that of the spleen during multiphasic scans.
References
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Journal ArticleDOI
Cystic pancreatic neoplasms: observe or operate.
Kristine S. Spinelli,Travis E. Fromwiller,Roger A. Daniel,James M. Kiely,Attila Nakeeb,Richard A. Komorowski,Stuart D. Wilson,Henry A. Pitt +7 more
TL;DR: It is suggested that cystic pancreatic neoplasms that are increasing under observation, symptomatic, or detected radiologically in fit older patients are likely to be malignant in patients older than 70 years.
Journal ArticleDOI
Lesions observed in accessory spleens of 311 patients.
Béla Halpert,Ferenc Gyorkey +1 more
Journal ArticleDOI
Periampullary and Pancreatic Incidentaloma: A Single Institution's Experience With an Increasingly Common Diagnosis
Jordan M. Winter,John L. Cameron,Keith D. Lillemoe,Kurtis A. Campbell,David C. Chang,Taylor S. Riall,JoAnn Coleman,Patricia K. Sauter,Marcia I. Canto,Ralph H. Hruban,Richard D. Schulick,Michael A. Choti,Charles J. Yeo +12 more
TL;DR: Resected malignant PIs have favorable pathologic features as compared with resected malignant NIs, and resection of these early lesions in asymptomatic individuals is associated with improved survival, compared with patients with symptomatic disease.
Journal ArticleDOI
Epithelial (true) splenic cysts. Pathogenesis of the mesothelial and so-called epidermoid cyst of the spleen.
TL;DR: The epidermoid splenic cyst seems to be a variant of the mesothelial cyst with focal squamous metaplasia, which is usually of considerable size when surgically removed.
Journal ArticleDOI
Evaluation of the utility of a radioimmunoassay for serum CA 19-9 levels in patients before and after treatment of carcinoma of the pancreas.
TL;DR: The data suggest that serial determination of serum CA 19-9 levels are useful as a prognostic indicator and in detecting disease recurrence following pancreatectomy and that in this small group of patients, CA19-9 was a better predictor of recurrence.
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