“ Serous microcystic adenoma (benign) Mucinous cystic neoplasm (malignant potential) Frequency Less common More common Number of cysts >6...
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| Serous microcystic adenoma (benign) | Mucinous cystic neoplasm (malignant potential) | |
|---|---|---|
| Frequency | Less common | More common |
| Number of cysts | >6 | <6 |
| Size of individual cysts | <2 cm Swiss cheese pattern due to innumerable cysts | >2 cm (average 5 cm) |
| Calcification | 40%, amorphous, starburst Central calcification is the rule | 20%, rim calcification |
| Enhancement | Hypervascular | Hypovascular |
| Cyst contents | Glycogen | Mucin |
| Other features | Central scar 15% | Peripheral enhancement spread: local, lymph nodes, liver |
| Demographics | Older patients (>60 years of age) | Younger patients (40–60 years of age) |
| Location | 70% head of pancreas | 95% in body or tail |
| Associations | Von Hippel–Lindau disease |
Serous cystadenoma. (a) Axial T2 weighted MRI of the abdomen demonstrating a multicystic lesion. (b) Axial CT image of the abdomen with intravenous contrast demonstrating a multicystic lesion within the region of the pancreatic head with visible septae.
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