Keywords:
Cysts, Education, MR, CT, Pancreas, Oncology, Abdomen, Neoplasia
Authors:
E. Esteban García1, E. Kasatkina2, H. U. Kauczor2, T. Hackert2, M. Klauss2; 1Torrevieja/ES, 2Heidelberg/DE
DOI:
10.26044/ecr2019/C-1544
Conclusion
Overall,
we were able to identify three imaging subtypes of LEC with the first one having a well-defined cystic morphology and the other two being subsolid lesions with either diffuse solid component or with a mural nodule.
In some cases these features show a big overlap with other cystic pancreatic lesions,
especially with MCN and IPMN.
The later two have a potential to a malignant transformation making it curtail to different them on one hand to avoid an invasive disease and on the other hand to avoid unnecessary resections with the risk of postoperative complications.
To our experience clinical data is of outstanding importance in the differential diagnosis of these cystic lesions as well as radiological characterizations like connection to MPD,
location,
size und dilatation of MPD.
Unfortunately,
in some occasions the LEC are indistinguishable from other pancreatic neoplasms and a correct preoperative diagnosis cannot be done using imaging only.
In such cases a multidisciplinary approach should be strongly considered to be able to correlate the imaging finding with clinical data.