Etiology |
Unknown; most cases sporadic |
Incidence |
Around 0.004 new cases per 100,000 population |
Gender ratio |
Almost equal distribution in adults |
Age predilection |
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Risk factors |
2/3 of cases in Asian descents
Occasionally associated with alterations in the Wnt signaling pathway and chromosome 11p loss of heterozygosity (LOH), Beckwith-Wiedemann syndrome and familial adenomatous polyposis
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Treatment |
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Prognosis |
In adults is uniformly poor – survival median time varies between 5 and 20 months
In children the tumor is more indolent, with a better prognosis, particularly if completely resected.
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Findings on imaging |
Usually large, well defined, at least partially circumscribed, lobulated, and heterogeneous with solid and cystic components
US: solid inseparable pancreatic mass with mixed echogenicity
CT: better demonstrates calcifications
MRI: heterogeneous with low to intermediate signal intensity on T1-wi and high signal on T2; better delineates intratumoral hemorrhage and necrotic areas.
Enhancement is a common feature on contrast-enhanced CT and MRI.
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