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Case Reports
. 2018 Jul-Sep;28(3):327-329.
doi: 10.4103/ijri.IJRI_469_17.

Mucinous cystadenoma of pancreas with honeycombing appearance: Radiological-Pathological correlation

Beno Jefferson  1 , Indiran Venkatraman  1 , R Vinoth Kumar  2 , Karkuzhali Ponnuswamy  3 , Anbukkarasi  3 , Prabakaran Maduraimuthu  1
Affiliations
Case Reports

Mucinous cystadenoma of pancreas with honeycombing appearance: Radiological-Pathological correlation

Beno Jefferson et al. Indian J Radiol Imaging. 2018 Jul-Sep.

Abstract

Most mucinous cystadenomas of pancreas are solitary and multilocular with a few large compartments. Serous cystadenomas usually have a polycystic or microcystic (honeycomb) pattern consisting of collection of cysts (usually >6) that range from few millimetres up to 2 cm in size. Here we present a case of mucinous cystadenoma of pancreas showing an unusual appearance of honeycombing (which has not been described so far) using imaging studies such as endoscopic ultrasound and computed tomography with histopathological confirmation of the diagnosis.

Keywords: Cystic; Mucinous; honeycombing; pancreatic; tumors.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1 (A and B)
Figure 1 (A and B)
(A) CECT abdomen shows a well-defined cystic lesion in the head and neck of the pancreas (arrow) with enhancing septations within. (B) CECT abdomen demonstrating the mass effect of the cystic lesion causing downstream dilatation of main pancreatic duct (arrow)
Figure 2
Figure 2
Endoscopic ultrasound demonstrates a predominantly isoechoic lesion with few cystic portions noted giving ‘‘honeycomb’’ appearance (arrow)
Figure 3 (A and B)
Figure 3 (A and B)
(A) Gross specimen shows a well-circumscribed pancreatic lesion which appears spongy and trabeculated with no secondary changes. (B) Microscopic examination shows an unencapsulated neoplasm in the pancreas composed of cysts of varying sizes lined by single layer of flattened to cuboidal epithelium with occasional papillary processes
See this image and copyright information in PMC

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