CT and MR imaging of multilocular acinar cell cystadenoma: comparison with branch duct intraductal papillary mucinous neoplasia (IPMNs) View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-06-04

AUTHORS

Christophe Delavaud, Gaspard d’Assignies, Jérome Cros, Philippe Ruszniewski, Pascal Hammel, Philippe Levy, Anne Couvelard, Alain Sauvanet, Safi Dokmak, Valérie Vilgrain, Marie-Pierre Vullierme

ABSTRACT

ObjectivesTo describe CT and MR imaging findings of acinar cell cystadenoma (ACC) of the pancreas and to compare them with those of branch duct intraductal papillary mucinous neoplasia (BD-IPMN) to identify distinctive elements.MethodsFive patients with ACC and the 20 consecutive patients with histologically proven BD-IPMN were retrospectively included. Clinical and biological information was collected and histological data reviewed. CT and MR findings were analysed blinded to pathological diagnosis in order to identify imaging diagnostic criteria of ACC.ResultsPatients with ACC were symptomatic in all but one case and were younger than those with BD-IPMN (p = 0.006). Four radiological criteria allowed for differentiating ACC from IPMN: five or more cysts, clustered peripheral small cysts, presence of cyst calcifications and absence of communication with the main pancreatic duct (p < 0.05). Presence of at least two or three of these imaging criteria had a strong diagnostic value for ACC with a sensitivity of 100 % and 80 % and a specificity of 85 % and 100 %, respectively.ConclusionsPreoperative differential diagnosis between ACC and BD-IPMN can be achieved using a combination of four CT and/or MR imaging criteria. Recognition of ACC patients could change patient management and lead to more conservative treatment.Key Points• Four imaging findings are associated with acinar cell cystadenoma (ACC).• Imaging could achieve differential diagnosis between ACC and BD-IPMN.• Diagnosis on imaging would change patient management and avoid surgical resection. More... »

PAGES

2128-2136

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00330-014-3248-0

DOI

http://dx.doi.org/10.1007/s00330-014-3248-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1025334078

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24895037


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35 ConclusionsPreoperative differential diagnosis
36 MR
37 MR findings
38 MR imaging
39 MR imaging criteria
40 MethodsFive patients
41 ObjectivesTo
42 ResultsPatients
43 absence
44 absence of communication
45 acinar cell cystadenoma
46 biological information
47 branch duct intraductal papillary mucinous neoplasia
48 calcification
49 cases
50 cell cystadenoma
51 combination
52 communication
53 comparison
54 consecutive patients
55 conservative treatment
56 criteria
57 cyst calcification
58 cystadenoma
59 cysts
60 data
61 diagnosis
62 diagnostic criteria
63 diagnostic value
64 differential diagnosis
65 distinctive elements
66 duct
67 duct intraductal papillary mucinous neoplasia
68 elements
69 findings
70 four
71 histological data
72 imaging
73 imaging criteria
74 information
75 intraductal papillary mucinous neoplasia
76 main pancreatic duct
77 management
78 more cysts
79 mucinous neoplasia
80 multilocular acinar cell cystadenoma
81 neoplasia
82 order
83 pancreas
84 pancreatic duct
85 papillary mucinous neoplasia
86 pathological diagnosis
87 patient management
88 patients
89 peripheral small cysts
90 presence
91 radiological criteria
92 recognition
93 resection
94 sensitivity
95 small cysts
96 specificity
97 strong diagnostic value
98 surgical resection
99 treatment
100 values
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