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Broad Classification of Pancreatic Lesions

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We can broadly divide the pancreatic lesions

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into solid and cystic, and solid lesion can

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arise from endocrine cells or exocrine cells.

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And as I said earlier, 95% of the

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cells of the pancreas are exocrine.

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Cystic lesions can be further

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divided into proper cysts,

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those are lined by epithelium, or pseudocyst,

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those are not lined by the epithelium or

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cystic neoplasms from the exocrine cells,

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the most common pathology which arises.

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We encounter in the real life is adenocarcinoma.

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95 percent of the tumors are adenocarcinoma.

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But other uncommon tumors are also possible,

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like acinar cell or squamous cell, but

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those are very uncommon, and we are not

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going to deal with those in our talk here.

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The endocrine tumors are basically neuroendocrine

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tumor or carcinoid, which can be most common

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is insulinoma, most common is insulinoma.

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Or Gastrinoma cyst.

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As I said earlier, these

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are, these are the real cysts.

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They are lined by epithelium, and they

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can be seen with some continental anomalies

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or continental syndrome to be very precise,

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like one hippo limbo or polycystic disease.

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And pseudocyst is basically complication

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of pancreatitis, and the neoplasm, the

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cystic neoplasm can be from the duct or

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from outside the duct, extra ductile.

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So from the duct, which we have

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most commonly seen in real life.

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IPMN and extra ductile are.

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So,

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we will be dealing all with all these

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legions in our presentation today.

Report

Faculty

Neeraj Lalwani, MD, FSAR, DABR

Professor and Chief of Abdominal Radiology

Montefiore Medical Center, New York

Tags

Pancreas

Non-infectious Inflammatory

Neoplastic

MRI

Idiopathic

CT

Body

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