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Daily Case Vignette - CTisus.com — Pancreas. Machine-transcribed; use the interactive transcript above to jump the player to any line.
The incidental pancreatic lesion is most likely. Well, I see a cystic lesion in the body of a pancreas and this atrophy of the distal gland and this ductilitation. The truth is this could be a musinous tumor, great location if the patient was in their 40s. It could be a cystic neuroendocrine tumor, again, not all neuroendocrine tumors are vascular, but with cystic neuroendocrine, I still like to see some room enhancement. I don't see that, but it's a possibility. Another possibility, of course, would be an IPMN. That's a cystic lesion and with the atrophy of the gland and dilated duct, you would then have to be concerned about a malignancy. Syracist adenomas can vary, right? We talk about an incidental syracist adenomas that can be large. You can have ductilitation, calcification, particularly central calcification is common.
I have to admit, this is a tough case. You're going to need EUS and biopsy and this ended up being a syracist adenoma. But if you set a musinous cystic neoplasm, I'm going to give you full credit as well. It's just a tough case and that's why we do pathology.
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