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Image-diagnostic features of mature cystic teratomas of the pancreas: report on two cases difficult to diagnose preoperatively
Authors:Makoto Seki  Eiji Ninomiya  Akiko Aruga  Keiko Yamada  Rintaro Koga  Akio Saiura  Junji Yamamoto  Toshiharu Yamaguchi  Koichi Takano  Rikiya Fujita  Keiko Sasaki  Yo Kato
Institution:Department of Surgery, Cancer Institute of the JFCR, 3-10-6 Ariake, Koto-ku, Tokyo, 135-8550, Japan
Kasumigaseki-Building Clinic, Tokyo, Japan
Department of Radiology, Cancer Institute of the JFCR, Tokyo, Japan
Department of Internal Medicine, Cancer Institute of the JFCR, Tokyo, Japan
Department of Pathology, Cancer Institute of the JFCR, Tokyo, Japan
Abstract:This report documents the findings of two rare cases of mature cystic teratoma of the pancreas. Although they could not be diagnosed preoperatively, our retrospective report suggests that the combined diagnosis of ultrasonography (US), enhanced computed tomography (CT), and magnetic resonance cholangiopancreatography (MRCP) might allow differentiation from other cystic lesions such as mucinous cystic tumors (MCTs) and intraductal papillary–mucinous tumors (IPMTs). Since the cystic teratomas were both filled with keratinous and sebaceous material, they were echogenic, appearing as solid masses on US. Enhanced CT showed their cystic nature, with values slightly higher than water, and MRCP revealed defects of internal signals.
Keywords:mature cystic teratoma of the pancreas  dermoid cyst of the pancreas  image diagnosis
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