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DOI:10.2214/AJR.08.1309
AJR 2009; 193:136-142
© American Roentgen Ray Society


Pictorial Essay

Typical and Atypical Manifestations of Serous Cystadenoma of the Pancreas: Imaging Findings With Pathologic Correlation

Jin-Young Choi1,2, Myeong-Jin Kim1,2, Jae Young Lee3, Joon Seok Lim1,2, Jae Joon Chung1, Ki Whang Kim1,2 and Hyung Sik Yoo1,2

1 Department of Diagnostic Radiology, Research Institute of Radiological Science, Yonsei University Health System, 250 Seongsanno, Seodaemungu, Seoul 120-752, Korea.
2 Institute of Gastroenterology, Yonsei University Health System and Brain Korea 21 project, Seoul, Korea.
3 Department of Radiology and Institute of Radiation Medicine, Seoul National University Hospital, Seoul, Korea.

OBJECTIVE. The purpose of this article is to present the typical and atypical manifestations of serous cystadenoma, which can be visualized with cross-sectional imaging.

CONCLUSION. Serous cystadenomas of the pancreas have various distinguishing imaging features. Typically, a serous cystadenoma is morphologically classified as having either a polycystic, honeycomb, or oligocystic pattern. Atypical manifestations of serous cystadenoma can include giant tumors with ductal dilatation, intratumoral hemorrhages, solid variants, unilocular cystic tumors, interval growth, and a disseminated form.

Keywords: CT • cystic neoplasm • MRI • pancreas • serous cystadenoma


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