Hypervascular pancreatic "lesions": a pattern-based approach to differentiation.
Abdom Radiol (NY). 2018 Apr;43(4):1013-1028. doi: 10.1007/s00261-017-1363-5. Shankar PR1, Wasnik AP2, Al-Hawary MM2, Francis IR2, Kaza RK2.
Hypervascular pancreatic lesions/masses can arise due to a variety of causes, both benign and malignant, leading to a wide differential diagnosis. Accurate differentiation of these lesions into appropriate diagnoses can be challenging; however, this is important for directing clinical management. This manuscript provides a multimodality imaging review of hypervascular pancreatic lesion, with emphasis on an imaging-based algorithmic approach for differentiation of these lesions, which may serve as a decision support tool when encountering these uncommon lesions. Additionally, we stratify these lesions into three categories based on malignant potential, to help guide clinical management.