Curbside Consultation of the Pancreas: 49 Clinical Questions

Scott Tenner, MD, MPH; Alphonso Brown, MD, MS Clin Epi; Frank Gress, MD

Question 37: What Masses Mimic Pancreatic Cancer? (continued)

Susan Truong, HMS III; Alphonso Brown, MD, MS Clin Epi

More frequently, pancreatic masses are discovered incidentally during diagnostic imaging (Table 37-1). Pancreatic ductal adenocarcinoma is the most common tumor mass of the pancreas, accounting for more than 80% of all pancreatic tumors and an additional 10% of pancreatic tumors are atypical variants of ductal adenocarcinoma. While the classic pancreatic ductal adenocarcinoma has a very characteristic appearance on diagnostic imaging, the remaining variants may be difficult to distinguish. This poses a difficult problem for diagnosis and clinical management. Tuberculosis and fungal and…