Serous pancreatic neoplasia, data and review

doi:10.3748/wjg.v23.i30.5567

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastroenterol. Aug 14, 2017; 23(30): 5567-5578
Published online Aug 14, 2017. doi: 10.3748/wjg.v23.i30.5567

Serous pancreatic neoplasia, data and review

Christoph F Dietrich, Yi Dong, Christian Jenssen, Valentina Ciaravino, Michael Hocke, Wen-Ping Wang, Eike Burmester, Kathleen Moeller, Nathan SS Atkinson, Paola Capelli, Mirko D’Onofrio

Christoph F Dietrich, Medizinische Klinik 2, Caritas-Krankenhaus Bad Mergentheim, 97980 Bad Mergentheim, Germany

Christoph F Dietrich, Ultrasound Department, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China

Yi Dong, Wen-Ping Wang, Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai 200032, China

Christian Jenssen, Department of Internal Medicine, Krankenhaus Märkisch Oderland Strausberg/Wriezen, 15344 Straussberg, Germany

Valentina Ciaravino, Department of Radiology, G.B Rossi University Hospital, University of Verona, 37129 Verona, Italy

Michael Hocke, Department of Internal Medicine 2, Helios Hospital Meiningen GmbH, 98617 Meiningen, Germany

Eike Burmester, Department of Internal Medicine I, Sana Kliniken, 23560 Luebeck, Germany

Kathleen Moeller, Sana Klinikum Lichtenberg, 10365 Berlin, Germany

Nathan SS Atkinson, Translational Gastroenterology Unit, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, United Kingdom

Paola Capelli, Department of Pathology, G.B Rossi University Hospital, University of Verona, 37134 Verona, Italy

Mirko D’Onofrio, Department of Radiology, GB Rossi University Hospital, University of Verona, 37134 Verona, Italy

Author contributions: Dietrich CF is accepting full responsibility for the conduct of the study, he and all others had access to the data, all had control of the decision to publish; all authos planning the study, conducting the study, collecting and/or interpreting data, drafting the manuscript, and critical revision of the manuscript for important intellectual content Statistical analysis; each author made a statement that they approved the final draft submitted.

Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.

Data sharing statement: Each author gives permission to the graphic designers to alter the visual aspect of figures, tables, or graphs.

Correspondence to: Christoph F Dietrich, MD, PhD, MBA, Professor of Medicine, Chief, Medizinische Klinik 2, Caritas-Krankenhaus Bad Mergentheim, Uhlandstr 7, 97980 Bad Mergentheim, Germany. christoph.dietrich@ckbm.de

Telephone: +49-7931-582201 Fax: 49-7931-582290

Received: March 5, 2017
Peer-review started: March 7, 2017
First decision: April 11, 2017
Revised: June 8, 2017
Accepted: July 22, 2017
Article in press: July 24, 2017
Published online: August 14, 2017
Processing time: 161 Days and 5.5 Hours

Abstract

AIM

To describe the imaging features of serous neoplasms of the pancreas using ultrasound, endoscopic ultrasound, computed tomography and magnetic resonance imaging.

METHODS

This multicenter international collaboration enhances a literature review to date, reporting features of 287 histologically confirmed cases of serous pancreatic cystic neoplasms (SPNs).

RESULTS

Female predominance is seen with most SPNs presenting asymptomatically in the 5^th through 7^th decade. Mean lesion size was 38.7 mm, 98% were single, 44.2% cystic, 46% mixed cystic and solid, and 94% hypoechoic on B-mode ultrasound. Vascular patterns and contrast-enhancement profiles are described as hypervascular and hyperenhancing.

CONCLUSION

The described ultrasound features can aid differentiation of SPN from other neoplastic lesions under most circumstances.

Keywords: Guideline; Cancer; Ultrasound; Endoscopic ultrasound; Elastography

Core tip: Serous pancreatic cystic neoplasms are infrequent neoplasms of the pancreas. Ultrasound features including single cystic or mixed cystic and solid hypoechoic lesions, hypervascular and hyperenhancing profiles as described can aid differentiation from other neoplastic lesions under most circumstances.