Skip to main content
SpringerLink
Log in

CT of Endocrine and Cystic Tumors of the Pancreas

  • Chapter
Spiral CT of the Abdomen

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Computed tomography (CT) is the dominant imaging modality used for the diagnosis and staging of pancreatic disease. High-quality preoperative radiological evaluation is helpful in selecting patients who are candidates for surgery, and it has reduced the proportion of patients who undergo non curative surgery for pancreatic tumors (Nordback et al. 1992). Helical CT provides excellent depiction of small vessels, high levels of parenchymal enhancement and lack of respiratory misregistration (Dupuy et al. 1992; Fishman et al. 1992), which is beneficial for the diagnosis of pancreatic tumors. In this discussion, CT features of endocrine and cystic pancreatic tumors and their differential diagnosis will be presented.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Binkovitz LA, Johnson CD, Stephens DH (1990) Islet cell tumors in Von Hippel-Lindau disease: increased prevalence and relationship to the multiple endocrine neoplasias. AJR Am J Roentgenol 155:501–505

    PubMed  CAS  Google Scholar 

  • Bonaldi VM, Bret PM, Reinhold C, Atri M (1995) Helical CT of the liver: value of an early hepatic arterial phase. Radiology 197:357–33

    PubMed  CAS  Google Scholar 

  • Bressler EL, Alpern MB, Glazer GM, Francis IR, Ensminger WD (1987) Hypervascular hepatic metastasis. Radiology 162:49–51

    PubMed  CAS  Google Scholar 

  • Buck JL, Hayes WS (1990) From the archives of the AFIP. Microcystic adenoma of the pancreas. Radiographics 10:10313-322

    Google Scholar 

  • Chung MJ, Choi BI, Han JK, Chung JW, Han MC, Bae SH (1997) Functioning islet cell tumor of the pancreas. Localization with dynamic spiral CT. Acta Radiol 38:135–138

    PubMed  CAS  Google Scholar 

  • Compagno J, Oertel JE (1978a) Microcystic adenomas of the pancreas (glycogen-rich cystadenomas): a clinicopathologic study of 34 cases. Am J Clin Pathol 69:289–298

    PubMed  CAS  Google Scholar 

  • Compagno J, Oertel JE (1978b) Mucinous cystic neoplasms of the pancreas with overt and latent malignancy (cystadenocarcinoma and cystadenoma). A clinicopathologic study of 41 cases. Am J Clin Pathol 69:573–580

    PubMed  CAS  Google Scholar 

  • Dupuy DE, Costello P, Ecker CP (1992) Spiral CT of the pancreas. Radiology 183:815–818

    PubMed  CAS  Google Scholar 

  • Eelkema EA, Stephens DH, Ward EM, Sheedy PF (1984) CT features of nonfunctioning islet cell carcinoma. AJR Am J Roentgenol 143:943–948

    PubMed  CAS  Google Scholar 

  • Eresue J, Drouillard J, Philippe JC, Guibert JL, Roux P, Tavernier J (1985) CT and US findings in pancreatic ductal tumours. A report of an unusual case and review of the literature. Eur J Radiol 5:40–42

    PubMed  CAS  Google Scholar 

  • Eriksson B, Arnberg H, Lindgren PG et al (1990) Neuroendocrine pancreatic tumours: clinical presentation, biochemical and histopathological findings in 84 patients. J Intern Med 228:103–113

    Article  PubMed  CAS  Google Scholar 

  • Fishman EK, Wyatt SH, Ney DR, Kuhlman JE, Siegelman SS (1992) Spiral CT of the pancreas with multiplanar display. AJR Am J Roentgenol 159:1209–1215

    PubMed  CAS  Google Scholar 

  • Friedman AC, Edmonds PR (1989) Rare pancreatic malignancies. Radiol Clin North Am 27:177–190

    PubMed  CAS  Google Scholar 

  • Friedman AC, Lichtenstein JE, Dachman AH (1983) Cystic neoplasms of the pancreas. Radiological-pathological correlation. Radiology 149:45–50

    PubMed  CAS  Google Scholar 

  • Fugazzola C, Procacci C, Bergamo Andreis IA et al (1990) The contribution of ultrasonography and computed tomography in the diagnosis of nonfunctioning islet cell tumors of the pancreas. Gastrointest Radiol 15:139–144

    Article  PubMed  CAS  Google Scholar 

  • Gouhiri M, Soyer P, Barbagelatta M, Rymer R (1998) Macrocystic serous cystadenoma of the pancreas: CT and endosonographic features. Abdom Imaging (to be published)

    Google Scholar 

  • Gunther RW, Klose KJ, Ruckert K et al (1983) Islet-cell tumors: detection of small lesions with computed tomography and ultrasound. Radiology 148:485–488

    PubMed  CAS  Google Scholar 

  • Itai Y, Moss AA, Ohtomo K (1982) Computed tomography of cystadenoma and cystadenocarcinoma of the pancreas. Radiology 145:419–425

    PubMed  CAS  Google Scholar 

  • Itai Y, Ohhashi K, Furui S et al (1988) Microcystic adenoma of the pancreas: spectrum of computed tomographic findings. J Comput Assist Tomogr 12:797–803

    Article  PubMed  CAS  Google Scholar 

  • Johnson CD, Stephens DH, Charboneau JW, Carpenter HA, Welch TJ (1988) Cystic pancreatic tumors: CT and sonographic assessment. AJR Am J Roentgenol 151:1133–1138

    PubMed  CAS  Google Scholar 

  • King AD, Ko GT, Yeung VT, Chow CC, Griffith J, Cockram CS (1998) Dual phase spiral CT in the detection of small insulinomas of the pancreas. Br J Radiol 71:20–23

    PubMed  CAS  Google Scholar 

  • Koito K, Namieno T, Nagakawa T, Morita K (1997) Delayed enhancement of islet cell carcinoma on dynamic computed tomography: a sign of its malignancy. Abdom Imaging 22:304–306

    Article  PubMed  CAS  Google Scholar 

  • Krudy AG, Doppman JL, Jensen RT et al (1984) Localization of islet cell tumors by dynamic CT: comparison with plain CT, arteriography, sonography, and venous sampling. AJR Am J Roentgenol 143:585–589

    PubMed  CAS  Google Scholar 

  • Lewandrowski K, Warshaw A, Compton C (1992) Macrocystic serous cystadenoma of the pancreas: a morphologic variant differing from micro cystic adenoma. Hum Pathol 23:871–875

    Article  PubMed  CAS  Google Scholar 

  • Loser C, Folsch DR, Peiper HJ, Schuster R, Creutzfeldt W (1990) Cystic neoplasms of the pancreas: a clinical and radiological study of eight cases. Klin Wochenschr 68:780–787

    Article  PubMed  CAS  Google Scholar 

  • Minami M, Itai Y, Ohtomo K, Yoshida H, Yoshikawa K, Iio M (1989) Cystic neoplasms of the pancreas: comparison of MR imaging with CT. Radiology 171:53–56

    PubMed  CAS  Google Scholar 

  • Nordback IH, Hruban RH, Boitnott JK, Pitt HA, Cameron JL (1992) Carcinoma of the body and tail of the pancreas. Am J Surg 164:26–31

    Article  PubMed  CAS  Google Scholar 

  • Patten RM, Byun JY, Freeny PC (1993) CT of hypervascular hepatic tumors: are unenhanced scans necessary for diagnosis? AJR Am J Roentgenol 161:979–984

    PubMed  CAS  Google Scholar 

  • Rhodes I, Humar A, Lum PA, Yazdi HM, Tao HH, Barron PT (1993) Computed tomographic and cytologic assessment of cystic pancreatic neoplasms: a difficult preoperative diagnosis. Can Assoc Radiol J 44:359–363

    PubMed  CAS  Google Scholar 

  • Roberts L Jr, Dunnick NR, Foster WL Jr et al (1984) Somatostatinoma of the endocrine pancreas: CT findings. J Comput Assist Tomogr 8:1015–1018

    Article  PubMed  Google Scholar 

  • Semelka RC, Cumming MJ, Shoenut JP et al (1993) Islet cell tumors: comparison of dynamic contrast-enhanced CT and MR imaging with dynamic gadolinium enhancement and fat suppression. Radiology 186:799–802

    PubMed  CAS  Google Scholar 

  • Soyer P, Rabenandrasana A, Van Beers B et al (1994) Cystic tumors of the pancreas: dynamic CT studies. J Comput Assist Tomogr 18:420–426

    Article  PubMed  CAS  Google Scholar 

  • Stafford-Johnson DB, Francis IR, Eckhauser FE, Knol JA, Chang AE (1998) Dual-phase helical CT of nonfunctioning islet cell tumors. J Comput Assist Tomogr 22:335–339

    Article  PubMed  CAS  Google Scholar 

  • Stark DD, Moss AA, Goldberg HI, Deveney CW (1984) CT of pancreatic islet cell tumors. Radiology 150:491–494

    PubMed  CAS  Google Scholar 

  • Thompson GB, van Heerden JA, Grant CS et al (1988) Islet cell carcinomas of the pancreas: a twenty-year experience. Surgery 104:1011

    PubMed  CAS  Google Scholar 

  • Thomsen HS, Levine E, Meilstrup JW et al (1997) Renal cystic diseases. Eur Radiol 7:1267–1275

    Article  PubMed  CAS  Google Scholar 

  • Van Hoe L, Gryspeerdt S, Marchal G, Baert AL, Mertens L (1995) Helical CT for the preoperative localization of islet cell tumors of the pancreas: value of arterial and parenchymal phase images. AJR Am J Roentgenol 165:1437–1439

    PubMed  Google Scholar 

  • Zirinsky K, Abiri M, Baer JW (1984) Computed tomography demonstration of pancreatic micro cystic adenoma. Am J Gastroenterol 79:139–142

    PubMed  CAS  Google Scholar 

  • Zollinger RM (1985) Gastrinoma: factors influencing prognosis. Surgery 97:49–54

    PubMed  CAS  Google Scholar 

  • Zollinger RM, Ellison EH (1955) Primary peptic ulcerations of the jejunum associated with islet cell tumors of the pancreas. Ann Surg 142:709

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, The Johns Hopkins University School of Medicine, 600 North Wolfe Street, MRI 143, Baltimore, USA

    D.A. Bluemke MD, PhD

  2. Department of Abdominal and Vascular Imaging, Hôpital Lariboisière Université, 2, rue Ambroise Paré, F-75475, Paris Cédex 10, France

    P. Soyer MD, PhD

Authors
  1. D.A. Bluemke MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Soyer MD, PhD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Radiology Division of Diagnostic and Interventional Radiology, Geneva University Hospital, 24, Rue Micheli-du-Crest, CH-1211, Genève 14, Switzerland

    François Terrier MD (Professor) & Christoph D. Becker MD (Professor) & 

  2. Hôpital de la Tour, CH-1217, Meyrin, Switzerland

    Marianne Grossholz MD

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Bluemke, D., Soyer, P. (2000). CT of Endocrine and Cystic Tumors of the Pancreas. In: Terrier, F., Grossholz, M., Becker, C.D. (eds) Spiral CT of the Abdomen. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56976-0_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-56976-0_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-42291-4

  • Online ISBN: 978-3-642-56976-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation