Pancreas

Question 1

Pancreatic divisum

Answer 1

• ventral and dorsal duct
• recurrent abd pain, nausea, vomiting
• acute and chronic pancreatitis
• marjority drained by dorsal duct into minor papilla
• treat with ERCP and pancreatic sphincterotomy

Question 2

Intraductal papillary mucinous neoplasm (IPMN)

Answer 2

• communicates with pancreatic duct
• main duct, branch duct, and mexied subtypes
• males and females ages 60-70
• Located in head and tail
• positive mucin stain
• high amylase
• high CEA

Question 3

Mucinous cystic neoplasm pancreas

Answer 3

• Females more than males
• ages 50-60
• located on body and tail more than head
• very rarely communicates with ducts
• positive mucin stain
• low amylase
• high CEA

Question 4

Serous cystic neoplasm pancreas

Answer 4

• Females more than males
• ages 60-70
• located anywhere
• no communication with ducts
• low amylase
• negative mucin stain
• low amylase
• low CEA

Question 5

Pancreatic pseudocyst

Answer 5

• female equals male
• ages 40-60
• located anywhere
• communicates with duct
• negative mucin
• high amylase
• low CEA

Question 6

Pancreatic pseudocyst

Answer 6

• female equals male
• ages 40-60
• located anywhere
• communicates with duct
• negative mucin
• high amylase
• low CEA

Question 7

Distal pancreatectomy

Answer 7

• most commonly performed for a tumor
• splenectomy routinely performed for proper resection margins
• IMV should be ligated if enters the splenic vein lateral to target lesion
• IMV can be perserved if enters splenic vein medial to lesions or if it enters superior to SMV