Acinar cystic transformation of the pancreas

被引:0
作者
Pritchard, Matthew [1 ]
Boue, Alberto Alejandro [1 ]
Samra, Jaswinder [1 ]
Chou, Angela [1 ]
Mittal, Anubhav [1 ]
机构
[1] Royal North Shore Hosp, St Leonards, NSW, Australia
关键词
General surgery; Pancreatic cancer; CELL CYSTADENOMA; MANAGEMENT; DIAGNOSIS; IPMN;
D O I
10.1136/bcr-2024-260317
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acinar cystic transformation (ACT) of the pancreas is a rare non-neoplastic cystic lesion. It is difficult to distinguish from more concerning pathology, particularly a side-branch duct intraductal papillary mucinous neoplasm (IPMN). All reported cases of ACT have been clinically benign with no evidence of recurrence or malignant transformation. The Fukuoka guidelines is a classification system designed to help guide the management of IPMNs and mucinous cystic neoplasms. We report a case of ACT that was preoperatively diagnosed as a suspected side-branch IPMN. Through the application of current guidelines, the patient underwent a Whipple's procedure. We highlight the difficulties in obtaining an accurate preoperative diagnosis in cases of ACT and the current radiological and cytological methods available to clinicians.
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