Table 2.
a. Significant prevalent lesions: findings on EUS/FNA and at surgery | ||||||
---|---|---|---|---|---|---|
Patient ID# | Age/ Sex |
Family history |
Findings on EUS/FNA |
Cytology/CEA | Surgical intervention |
Surgical Pathology |
1/23 | 67/F | 1 FDR 1SDR |
2 cystic lesions in head and body of pancreas; Mild chronic pancreatitis | Suspicious cells. Suspect MCN |
Pancreaticoduodenectomy | Multifocal IPMN of borderline malignant potential, predominately involving side branches |
2/325 | 86/F | 2 FDR | 3 cm cystic lesion body of pancreas | CEA 1765 Focal extracellular mucin | Distal pancreatectomy | IPMN with moderate dysplasia in background of chronic pancreatitis and PanIN2 |
3/645 | 58/F | 2 FDR | 2 cm mass lesion body of pancreas | Neoplastic cells represent MCN vs well-diff adenoca | Distal pancreatectomy | Mod differentiated ductal adenoca, 2.5 cm extending to peripancreatic soft tissue, +vasc and perineural invasion; nonneoplastic pancreas focal chronic pancreatitis; 0/8 + LNs: T3N0 |
4/776 | 55/F | 1 FDR 1 SDR BRCA+ |
1 cm cystic lesion prox body; dilated side branch of PD | Cytology negative for malignant cells | Patient declined | |
5/1063 | 46/F | 1 FDR 1 SDR |
1 cm septated cyst possible connection to branch PD | Mucin and glandular cells without atypia | Distal pancreatectomy | PanIN2, focal fibrosis, chronic inflammation |
6/1380 | 83/F | 2 FDR | 3 cm cystic lesion HOP w few thick septations; 4 cm cystic pancreatic tail lesion; PD dilation | Non diagnostic | Patient declined | |
7/1476 | 68/M | 1 FDR 3 SDR 1 TDR |
PD dilation 6.1 mm head, 3.6 mm in body, 3.0 mm tail | Not done | Pancreaticoduodenectomy | PanIN3, chronic pancreatitis |
8/1494 | 73/M | 1 FDR 1 SDR |
1 cm single cystic body lesion without septae; 1 cm single cystic head lesion; No PD duct dil | Acellular specimens; non-diagnostic | Distal pancreatectomy | Serous cystadenoma w adjacent retention cysts, PanIN-1B |
9/1634 | 68/F | 1 FDR 1 TDR |
1 cm hypoechoic, multicystic lesion in head; possible comm. w branch of PD | Cytology negative for malignant cells | Patient declined |
Patient ID# | Age/ Sex |
Family history |
Findings on EUS+/− FNA |
Cytology/CEA |
---|---|---|---|---|
1/230 | 48/M | 1 FDR<50 | Normal pancreas | n/a |
2/241 | 56/F | 2 FDR | Normal pancreas | n/a |
3/724 | 73/F | 2 FDR | 1 cm simple unilocular round cyst uncinate with no internal structures | Clear thick liquid. Cytology benign. No CEA sent |
4/748 | 53F | 2 FDR | 5–7 mm cyst body of pancreas no communication with PD | Clear thin liquid. Cytology sparsely cellular, negative for malignancy. |
5/1056 | 59/F | 1 FDR 1 SDR |
3 cm microcystic mass pancreatic neck, sl dilated PD | FNA unsatisfactory specimen |
6/1301 | 52F | 2 FDR | 8×4mm cystic lesion; no intramural nodule or mass | Clear yellow fluid Cytology negative for malignant cells No CEA sent |