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Pancreas -
Pancreatic Masses and Cysts -
Serous Cystadenomas
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Written by Dr Sebastian Zeki
MCQs for this page
Serous Cystadenomas
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Serous cystadenoma
Very rarely progress to
malignancy
PAS +ve
due to
glycogen
Most common in females >60
60 % in body or tail of the pancreas.
Large lesions (>4 cm) are more likely to cause
symptoms.
Comprised of single layer of PAS staining
positive cuboidal epithelial cells with clear
cytoplasm.
If enlarging/ symptomatic, need resection, otherwise
can be observed
In body- pancreaticoduo
-
denectomy
In tail - distal pancrea
-
tectomy
0.6 cm/year,
more in
larger lesions
Multiple small cysts/
microcysts
(”honeycomb appearance”) with watery cyst
fluid
Sometimes have large cysts
Central (sometimes calcified) scar
Written by Dr Sebastian Zeki
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