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The isthmus (also called the central pancreas) is the region of the gland that runs anterior to the superior mesenteric artery; by convention, it divides the right and left sides of the pancreas. [2] The ventral pancreatic bud forms the pancreatic head and uncinate process. The glands continue to develop but the duct systems anastomose.
The gold standard for diagnosing solid pseudopapillary tumour of the pancreas is cytopathology by endoscopic ultrasound (EUS) guided fine needle aspiration (FNA) of the lesion. [4] After surgical excision, the tumor can undergo histopathology evaluation for cancer staging .
Gross pathology: Main duct, branch duct, and mixed duct lesions, which determines surgical management. Main duct lesion is the segmental or diffuse dilatation of main pancreatic duct greater than 5 mm without other causes of obstruction. Meanwhile, branch duct lesion is the pancreatic cyst more than 5 mm that communicates with the main duct.
Since these lesions do not have malignant potential, long-term observation with imaging surveillance is unnecessary. [4] Surgery can include the removal of the head of the pancreas (a pancreaticoduodenectomy), removal of the body and tail of the pancreas (a distal pancreatectomy), or rarely removal of the entire pancreas (a total pancreatectomy ...
Acute pancreatitis (AP) is a sudden inflammation of the pancreas.Causes include a gallstone impacted in the common bile duct or the pancreatic duct, heavy alcohol use, systemic disease, trauma, elevated calcium levels, hypertriglyceridemia (with triglycerides usually being very elevated, over 1000 mg/dL), certain medications, hereditary causes and, in children, mumps.
A pseudocyst is a cystic lesion that may appear as a cyst on scans, but lacks epithelial or endothelial cells. [4] An acute pancreatic pseudocyst is made of pancreatic fluids with a wall of fibrous tissue or granulation. [citation needed] Pseudocysts may form in a number of places, including the pancreas, abdomen, adrenal gland, and eye.
Autoimmune Pancreatitis; Other names: AIP: A. Axial CT image in the pancreatic parenchymal phase shows the typical enlarged, poorly enhancing gland. B. Coronal T2 Weighted MR image demonstrates low signal intensity in the pancreas due to the diffuse fibrosis in the gland.
Pancreatic neuroendocrine tumors may arise in the context of multiple endocrine neoplasia type 1, Von Hippel–Lindau disease, neurofibromatosis type 1 (NF-1) or tuberose sclerosis (TSC) [31] [32] Analysis of somatic DNA mutations in well-differentiated pancreatic neuroendocrine tumors identified four important findings: [33] [7]