Pancreas Pathology

Front 1

________ is an acute attack of pancreatitis related to biliary tract disease and alcoholism. The MCC is biliary tract disease

Back 1

acute pancreatitis
(other causes trauma, inflammation from peptic ulcer, drugs, etc)

Front 2

What are the symptoms of acute pancreatitis?

Back 2

tenderness in the epigastrium, fever, often associated with an ileus (obstruction of the intestines)

Front 3

What is the sonographic appearance of acute pancreatitis?

Back 3

enlarged and hypoecoic

Front 4

________ develop from escaped pancreatic enzymes. Trauma and malignancy are most common causes. The tail is the most common site.

Back 4

Psudocysts

Front 5

________ is rapid progression of acute pancreatitis that creates a hemorrhagic edematous mass. It is escape of enzymes into pancreatic parenchyma causing rupture of pancreatic vessels and hemorrhage.

Back 5

phlegmon Pancreatitis

Front 6

________ is progressive irreversiblle destructive process associated primarily with chronic alcohol abouse and biliary tract disease.

Back 6

chronic pancreatitis

Front 7

________ may develop late inthe process of chroinc pancreatitis because of damage to the islets of Langerhans.

Back 7

Diabetes

Front 8

Patients with ________ and ________ are more predisposed to chroinc pancreatitis

Back 8

hyperlipidemia and hypercalcemia

Front 9

What is the sonographic appearence of chronic pancreatitis

Back 9

small and hyperechoic. Calcificatioins seen throghout. sometimes dilated duct is seen.

Front 10

________ is a rare benign neoplasm mc seen in females. Tiny cysts are found primarily in the body and tail. There will be abd pain and inc serum amy

Back 10

cystadenoma

Front 11

________ or ________ is a well circumscribed multilocular mass without a true capsule. Cysts will vary in size and will be more numerous peripherally. Cysts are so small it may appear solid.

Back 11

Microcystic or serous cystadenoma

Front 12

________ or ________ is well circumscribed, multilocular, cystic of variable sizes, usually more than 2 cm.

Back 12

Macrocystic or mucinous cystadenoma

Front 13

________ is a slow growing malignant tumor that arises from the ducts as a cystic neoplasm. MC in females. 60% occur in the tail.

Back 13

Cystademocarcinoma

Front 14

What is the sonographic appearence of cystadenocarcinoma?

Back 14

irregular, lobulated cystic tumor with thick walls, and can have papillary projections.

Front 15

Name two facts of Cystadenocarcinoma

Back 15

Mets to liver with free fluid
and
malignant counterpart to cystadenomas

Front 16

________ is the 4rth leading cause of death from cancer. It is a fatal tumor that involves the exocrine portion of the panc. Acocounts for 95% of all malignant panc tumors. MC in males, and blacks.

Back 16

adenocarcinoma

Front 17

adenocarcinoma occurs where 60-70% of the time?

Back 17

HOP

Front 18

What are the symptoms of adenocarcinoma?

Back 18

midepigastric pain, weight loss, jaundice, nv, courvoisiers GB

Front 19

What is the sono appearence of adenocarcinoma

Back 19

hypoechoic or less dense than pancreas, with dialated pancreatic duct (look for mets and tumor comressing the splenic vein, spleenomegaly)

Front 20

________ are endocrine tumors that develop from islet cells and usually have a good prognosis. Are more common in the tail and the body. B9 but may become malignant.

Back 20

Islet Cell Tumors

Front 21

________ are small 1-1.5 cm. b9 functioning tumors that secrete insulin. Are small lesions in the tail that can become malignant.

Back 21

Insulinoma aka B cell tumors

Front 22

________ is b9 but 60% become malignant. They secrete gastrin which causes stomach to produce too much acid. MC in 20-50 years old

Back 22

Gastrinoma

Front 23

Gastrinomas produce what syndrome

Back 23

Zollinger ellison syndrome

Front 24

________ has a high incidence of maliganancy. Always scan the liver for metz.

Back 24

glucagonoma

Front 25

________ is a resection for pancreatic carcinoma

Back 25

whipples procedure

Front 26

________ is when panc tissue may be gound in the GI tract

Back 26

ectopic panc tissue

Front 27

________ is when the panc head surrounds the 2nd portion of the duodenum. It's MC in males and assoiciated with complete or partial atresia of the duodenum.

Back 27

annular pancreas (susceptible to disease)

Front 28

________ is thickening of body secretions and dysfuncton of the exocrine glands

Back 28

cystic fibrosis (small cysts)

Front 29

What syndrome are insulinomas associated with

Back 29

Beckwith wiedmann syndrome