The document discusses various types of pancreatic tumors including epithelial tumors, premalignant lesions, malignant lesions, mesenchymal tumors, lymphomas, and secondary tumors of the pancreas. Imaging studies like CT, MRI, US, and ERCP are important for evaluating pancreatic tumors. Tumors are classified based on characteristics like size, location, presence of solid components or cysts, and extent of invasion or metastasis. Surgical resection is not possible if the tumor involves surrounding organs or structures or has spread to distant sites.

1. Tumor es de
páncr eas
R1CG Edgar Vargas Flores

2. Epithelial tumors
Benign
8551/0 Acinar cell cystadenoma
8441/0 Serous cystadenoma, NOS
Premalignant lesions
8148/2 Pancreatic intraepithelial neoplasia, grade 3 (PanIN-3)
8453/0 Intraductal papillary mucinous neoplasm (IPMN) with low- or intermediate-grade dysplasia
8453/2 Intraductal papillary mucinous neoplasm (IPMN) with high-grade dysplasia
8503/2 Intraductal tubulopapillary neoplasm (ITPN)
8470/0 Mucinous cystic neoplasm (MCN) with low- or intermediate-grade dysplasia
8470/2 Mucinous cystic neoplasm (MCN) with high-grade dysplasia
Malignant lesions
8500/3 Ductal adenocarcinoma
8560/3 Adenosquamous carcinoma
8480/3 Mucinous adenocarcinoma
8576/3 Hepatoid carcinoma
8510/3 Medullary carcinoma, NOS
8490/3 Signet ring cell carcinoma
8020/3 Undifferentiated carcinoma
8035/3 Undifferentiated carcinoma with osteoclast-like cells
8550/3 Acinar cell carcinoma
8551/3 Acinar cell cystadenocarcinoma
8453/3 Intraductal papillary mucinous carcinoma (IPMN) with an associated invasive carcinoma
8552/3 Mixed acinar-ductal carcinoma
8154/3 Mixed acinar-neuroendocrine carcinoma
8154/3 Mixed acinar-neuroendocrine-ductal carcinoma
8154/3 Mixed ductal-neuroendocrine carcinoma
8470/3 Mucinous cystic neoplasm (MCN) with an associated invasive carcinoma
8971/3 Pancreatoblastoma
8441/3 Serous cystadenocarcinoma, NOS
8452/3 Solid-pseudopapillary neoplasm
Pernick M, Pancreas tumors WHO Classification. 30 de noviembre 2012. monografía en internet.
http://www.pathologyoutlines.com/topic/pancreaswho.html

3. Neuroendocrine neoplasms
8150/0 Pancreatic neuroendocrine microadenoma
8240/3 Neuroendocrine tumor G1 (NET G1) / Carcinoid
8249/3 Neuroendocrine tumor G2 (NET G2)
8246/3 Neuroendocrine carcinoma, NOS
8013/3 Large cell neuroendocrine carcinoma
8041/3 Small cell neuroendocrine carcinoma
8241/3 Enterochromaffin cell (EC), serotonin-producing neuroendocrine tumour (NET)
8153/3 Gastrinoma, malignant
8152/3 Glucagonoma, malignant
8151/3 Insulin producing carcinoma (insulinoma)
8156/3 Somatostatinoma, malignant
8155/3 Vipoma, malignant
Mesenchymal tumours
9170/0 Lymphangioma, NOS
8850/0 Lipoma, NOS
8815/1 Solitary fibrous tumor
9260/3 Ewing sarcoma
8806/3 Desmoplastic small round cell tumor
Perivascular epithelioid cell neoplasm
Lymphomas
9680/3 Diffuse large B-cell lymphoma (DLBCL), NOS
Secondary tumours
Secondary tumours of the pancreas
Pernick M, Pancreas tumors WHO Classification. 30 de noviembre 2012. monografía en internet.
http://www.pathologyoutlines.com/topic/pancreaswho.html

4. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

5. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

6. •TAC
•IRM
•USE
•CPRE
Est udi os de i mágen
Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

7. Lesi ones sól i das

8. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Leiomiosarcoma metastàsico

9. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Leiomiosarcoma metastàsico

10. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Leiomiosarcoma metastàsico

11. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Leiomiosarcoma metastàsico

12. Lesi ones mi xt as

13. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Tumorde Células de islote

14. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Tumorde Células de islote

15. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Tumorde Células de islote

16. Qui st es uni l ocul ar es

17. Pseudoquiste pancreático
Gaillard F. Pancreatic pseudocyst. Monografìa en internet,
http://radiopaedia.org/articles/pancreatic-pseudocyst-1

18. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Quiste mucinoso

19. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Quiste mucinoso

20. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Quiste mucinoso

21. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Quiste linfoepitelial

22. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Quiste linfoepitelial

23. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Quiste linfoepitelial

24. Qui st es mul t i l ocul ar es

25. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Quiste Mucinoso

26. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Quiste mucinoso

27. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Quiste mucinoso

28. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Cistadenoma seroso

29. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Cistadenoma seroso

30. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Cistadenoma seroso

31. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Neoplasia mucinosa papilarintraductal.

32. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Neoplasia mucinosa papilarintraductal.

33. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Neoplasia mucinosa papilarintraductal.

34. Lesi ones
mi cr oquí st i cas

35. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Cistadenoma seroso

36. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Cistadenoma seroso

37. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Cistadenoma seroso

38. Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.
Cistadenoma seroso

39. Adenocar ci noma
pancr eát i co

40. Adenocarcinoma pancreático
Invasión regional

41. Adenocarcinoma pancreático
Invasión vascular

42. Adenocarcinoma pancreático
Invasión regional

43. Adenocarcinoma pancreático
Metástasis

44. Edge SP, Byrd DR, Compton CC et al. AJCC Cancer Staging Manual, 7th ed. New York. Springer,
2010.

45. Edge SP, Byrd DR, Compton CC et al. AJCC Cancer Staging Manual, 7th ed. New York. Springer,
2010.

46. Edge SP, Byrd DR, Compton CC et al. AJCC Cancer Staging Manual, 7th ed. New York. Springer,
2010.

47. •Ascitis
•Mets
•Invasión vascular
•Invasión regional
Cr i t er i os de
i r r esecabi l i dad
Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and
Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

48. • Gracias