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Potential Pitfalls Beyond the Pancreatic Head

  • Splenules simulating PNET in tail of pancreas
  • Gastric mass like GIST simulating body or tail of pancreas mass
  • Mesenteric mass simulates pancreatic mass

 

PNET Tail of Pancreas 1cm

PNET Tail of Pancreas 1cm

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Neuroendocrine Tumor TOP

Neuroendocrine Tumor TOP

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

PNET Tail of the Pancreas

PNET Tail of the Pancreas

 

Detection of Pancreatic Cancer

 

Incidental PNET in Head of Pancreas (subtle on coronal)

Incidental PNET in Head of Pancreas (subtle on coronal)

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

SPEN Tumor with CR

SPEN Tumor with CR

 

SPEN Tumor with CR

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

GIST Stomach Read as SPEN

GIST Stomach Read as SPEN

 

Detection of Pancreatic Cancer

 

SPEN Tumor TOP

SPEN Tumor TOP

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Extra Pancreatic Pathology

  • Liver
  • Stomach
  • Spleen
  • Kidney
  • Adrenal

 

Pancreatic Adenocarcinoma and Incidental Pheo

Pancreatic Adenocarcinoma and Incidental Pheo

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Recurrent Tumor

  • Recurrence in the pancreatic bed is common but certain pitfalls include;
  • Omental infarction

 

Omental Infarct Simulates Recurrent Tumor

Omental Infarct Simulates Recurrent Tumor

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Detection of Pancreatic Cancer

 

Conclusion

  • Not everything that looks like pancreatic cancer is pancreatic cancer
  • Careful analysis will allow the correct dx in most cases
  • You will not always be correct

 

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