PMID- 29509575
OWN - NLM
STAT- MEDLINE
DCOM- 20190103
LR  - 20190103
IS  - 1536-0253 (Electronic)
IS  - 0894-8771 (Linking)
VI  - 34
IP  - 3
DP  - 2018 Sep
TI  - Serous Cystic Neoplasms of the Pancreas: Endoscopic Ultrasonographic Versus 
      Computed Tomography and Magnetic Resonance Imaging Features of Surgically Removed 
      Masses.
PG  - 122-127
LID - 10.1097/RUQ.0000000000000346 [doi]
AB  - Our purpose was to assess the endoscopic ultrasonography (EUS) features of serous 
      cystic neoplasms (SCNs) of the pancreas in determining the surgical removal 
      compared with computed tomography (CT) and magnetic resonance imaging (MRI) 
      features. For 33 consecutive patients with 34 surgically confirmed SCNs over the 
      past 11 years, preoperative EUS features were compared with those of CT and MRI 
      (CT&MRI). Besides the lesion size and location, a retrospective analysis of the 
      various imaging features was performed by 2 observers to understand the 
      characteristics that determine the need for surgical intervention in terms of 
      multiplicity of locules, calcification, mural thickening, mural nodules, ductal 
      communication, and main pancreatic duct dilatation in addition to the gross 
      morphologic type: microcystic, macrocystic (>1 cm), mixed, or solid. The most 
      common gross morphologic type was mixed lesions, which consisted of microcystic 
      and macrocystic components (15/34; 44%), followed by microcystic (38%), 
      macrocystic (15%), and solid (3%) lesions. A minority (5/34; 18%) of the lesions 
      showed main pancreatic duct dilatation (upstream, n = 3; downstream, n = 0; 
      diffuse, n = 2). Mural nodules or solid components were more frequently noted in 
      EUS (67%) than in CT&MRI (25%; P = 0.001), whereas other findings showed no 
      remarkable difference between EUS and CT&MRI (P > 0.05). In determining the 
      surgical treatment of multiloculated cystic lesions, interpretation of EUS 
      features for the presence of solid component or mural nodules should be more 
      carefully determined, especially in the patients with suggestive features of SCN 
      on CT or MRI to avoid unnecessary surgery.
FAU - Hwang, Hyeonseung
AU  - Hwang H
AD  - Department of Radiology, Gangnam Severance Hospital, Yonsei University College of 
      Medicine, Seoul, Korea.
FAU - Yu, Jeong-Sik
AU  - Yu JS
FAU - Cho, Eun-Suk
AU  - Cho ES
FAU - Kim, Joo Hee
AU  - Kim JH
FAU - Chung, Jae-Joon
AU  - Chung JJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Ultrasound Q
JT  - Ultrasound quarterly
JID - 8809459
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cohort Studies
MH  - Cystadenoma, Serous/*diagnostic imaging/pathology/surgery
MH  - Endosonography/*methods
MH  - Female
MH  - Humans
MH  - Magnetic Resonance Imaging/*methods
MH  - Male
MH  - Middle Aged
MH  - Pancreatectomy/methods
MH  - Pancreatic Neoplasms/*diagnostic imaging/pathology/surgery
MH  - Prognosis
MH  - Retrospective Studies
MH  - Risk Assessment
MH  - Tomography, X-Ray Computed/*methods
MH  - Treatment Outcome
EDAT- 2018/03/07 06:00
MHDA- 2019/01/04 06:00
CRDT- 2018/03/07 06:00
PHST- 2018/03/07 06:00 [pubmed]
PHST- 2019/01/04 06:00 [medline]
PHST- 2018/03/07 06:00 [entrez]
AID - 10.1097/RUQ.0000000000000346 [doi]
PST - ppublish
SO  - Ultrasound Q. 2018 Sep;34(3):122-127. doi: 10.1097/RUQ.0000000000000346.