ERCP findings in mucinous/cystic tumors of the pancreas - A multicenter series

Glen Lehman, Stuart Sherman, J. Geenen, P. Tarnasky, M. Goldberg, A. Kruse, G. Aliperti, J. Barnett, G. Elta, D. Howell, J. Goff, K. Gottlieb, Thomas Howard, J. Madura, R. Hawes

Research output: Contribution to journalArticle

Abstract

Our group is collecting data on mucinous/cystic pancreatic tumors (MCPT) to better define the ERCP features. METHODS: Data are tallied via questionnaire and/or ERCP film review, specifically in reference to 1. Appearance of the papillae, 2 Ductal filling defects, 3. Cyst filling, 4 Main pancreatic duct cut-off, 5. Main duct or side branch displacement and 6. Bile duct obstruction. RESULTS: To date, data for 102 patients have been collected with ERCP findings on 72. A cystic stricture ≥ 1.2 cm was seen on CT scan or ultrasonography in 43%. Presenting features were clinical pancreatitis 44%, steatorrhea or weight loss 40%, obstructive jaundice 18% and new onset diabetes 8%. Histologic confirmation was available in 88%. Serous Mucinous Mucinous Mucinous Duct Ectasia Cystad- Cystadeno Cyst-Benign Unknown* Malig enoma Ca adenoma Total n 16 11 13 5 25 2 Mucus/papilla 8 8 10 0 6 0 Duct filling defects 11 10 11 0 16 2 Cyst filling 3 1 2 1 14 1 Duct cut-off 0 1 2 0 9 0 Duct displacement 1 0 0 4 1 0 Biliary obstruction 3 0 4 1 8 0 *Malignancy status unknown as no surgery done and biopsies not diagnostic. SUMMARY: ERCP features are similar in benign and malignant mucinous duct ectasia. Serous cystadenomas mainly cause duct displacement. Mucinous cystadenocarcinomas are characterized by ductal filling defects, cyst filling, and/or main pancreatic duct cut-off. Biliary obstruction was present in benign and malignant lesions CONCLUSION: ERCP findings in mucinous and cystic pancreatic tumors are being better characterized. The goal is to tally 100 mucinous duct ectasia patients and 100 other cystic tumors. Cases may be added to the series by contacting any author.

Original languageEnglish
JournalGastrointestinal Endoscopy
Volume45
Issue number4
StatePublished - 1997
Externally publishedYes

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Endoscopic Retrograde Cholangiopancreatography
Pancreas
Pathologic Dilatations
Cysts
Pancreatic Ducts
Neoplasms
Mucinous Cystadenocarcinoma
Serous Cystadenoma
Steatorrhea
Obstructive Jaundice
Cholestasis
Mucus
Motion Pictures
Pancreatitis
Adenoma
Weight Loss
Ultrasonography
Pathologic Constriction
Biopsy

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Lehman, G., Sherman, S., Geenen, J., Tarnasky, P., Goldberg, M., Kruse, A., ... Hawes, R. (1997). ERCP findings in mucinous/cystic tumors of the pancreas - A multicenter series. Gastrointestinal Endoscopy, 45(4).

ERCP findings in mucinous/cystic tumors of the pancreas - A multicenter series. / Lehman, Glen; Sherman, Stuart; Geenen, J.; Tarnasky, P.; Goldberg, M.; Kruse, A.; Aliperti, G.; Barnett, J.; Elta, G.; Howell, D.; Goff, J.; Gottlieb, K.; Howard, Thomas; Madura, J.; Hawes, R.

In: Gastrointestinal Endoscopy, Vol. 45, No. 4, 1997.

Research output: Contribution to journalArticle

Lehman, G, Sherman, S, Geenen, J, Tarnasky, P, Goldberg, M, Kruse, A, Aliperti, G, Barnett, J, Elta, G, Howell, D, Goff, J, Gottlieb, K, Howard, T, Madura, J & Hawes, R 1997, 'ERCP findings in mucinous/cystic tumors of the pancreas - A multicenter series', Gastrointestinal Endoscopy, vol. 45, no. 4.
Lehman, Glen ; Sherman, Stuart ; Geenen, J. ; Tarnasky, P. ; Goldberg, M. ; Kruse, A. ; Aliperti, G. ; Barnett, J. ; Elta, G. ; Howell, D. ; Goff, J. ; Gottlieb, K. ; Howard, Thomas ; Madura, J. ; Hawes, R. / ERCP findings in mucinous/cystic tumors of the pancreas - A multicenter series. In: Gastrointestinal Endoscopy. 1997 ; Vol. 45, No. 4.
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abstract = "Our group is collecting data on mucinous/cystic pancreatic tumors (MCPT) to better define the ERCP features. METHODS: Data are tallied via questionnaire and/or ERCP film review, specifically in reference to 1. Appearance of the papillae, 2 Ductal filling defects, 3. Cyst filling, 4 Main pancreatic duct cut-off, 5. Main duct or side branch displacement and 6. Bile duct obstruction. RESULTS: To date, data for 102 patients have been collected with ERCP findings on 72. A cystic stricture ≥ 1.2 cm was seen on CT scan or ultrasonography in 43{\%}. Presenting features were clinical pancreatitis 44{\%}, steatorrhea or weight loss 40{\%}, obstructive jaundice 18{\%} and new onset diabetes 8{\%}. Histologic confirmation was available in 88{\%}. Serous Mucinous Mucinous Mucinous Duct Ectasia Cystad- Cystadeno Cyst-Benign Unknown* Malig enoma Ca adenoma Total n 16 11 13 5 25 2 Mucus/papilla 8 8 10 0 6 0 Duct filling defects 11 10 11 0 16 2 Cyst filling 3 1 2 1 14 1 Duct cut-off 0 1 2 0 9 0 Duct displacement 1 0 0 4 1 0 Biliary obstruction 3 0 4 1 8 0 *Malignancy status unknown as no surgery done and biopsies not diagnostic. SUMMARY: ERCP features are similar in benign and malignant mucinous duct ectasia. Serous cystadenomas mainly cause duct displacement. Mucinous cystadenocarcinomas are characterized by ductal filling defects, cyst filling, and/or main pancreatic duct cut-off. Biliary obstruction was present in benign and malignant lesions CONCLUSION: ERCP findings in mucinous and cystic pancreatic tumors are being better characterized. The goal is to tally 100 mucinous duct ectasia patients and 100 other cystic tumors. Cases may be added to the series by contacting any author.",
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AU - Kruse, A.

AU - Aliperti, G.

AU - Barnett, J.

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AU - Madura, J.

AU - Hawes, R.

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