Modified from Yeo CJ and Sarr MG Cystic and pseudocystic diseases of the pancreas Curr Probl Surg 31165 1994 with permission

Ovarian Cyst Miracle

Ovarian Cyst Miracle System By Carol Foster

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Figure 4-3 A computed tomography scan of a patient with an acute fluid collection 10 days after an episode of acute alcoholic pancreatitis. The collection is located anterior to the spleen and appears to have a thin wall. The acute fluid collection was not causing symptoms and gradually resolved with observation.

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Diagnosis

Amylase

Cytology

Viscosity

CEA/CA-125

Pseudocyst

High

Negative

Low

Low/low

Serous cystic neoplasm

Variable

Negative

Low

Low/variable

Mucinous cystic Variable Usually positive Usually high High/variable neoplasm

CEA/CA-125 = carcinoembryonic antigen/cancer antigen 125.

* Modified from Lewandrowski, K.B., Southern, J.F., Pins, M.R., et al.: Cyst fluid analysis in the differential diagnosis of pancreatic cysts: A comparison of pseudocysts, serous cystadenomas, mucinous cystic neoplasms, and mucinous cystadenocarcinoma. Ann. Surg., 217:41, 1993, with permission.

* Modified from Lewandrowski, K.B., Southern, J.F., Pins, M.R., et al.: Cyst fluid analysis in the differential diagnosis of pancreatic cysts: A comparison of pseudocysts, serous cystadenomas, mucinous cystic neoplasms, and mucinous cystadenocarcinoma. Ann. Surg., 217:41, 1993, with permission.

to define the pancreatic ductal anatomy, of particular benefit in evaluating a pseudocyst in a patient with chronic pancreatitis. Nearly all patients with pseudocysts have some abnormality of their pancreatic ductal system, and 20 to 50% may have abnormal cholangiograms as well. A prospective study by Nealon et al. of ERCP in patients with pseudocysts found that the ERCP findings changed the operative management

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