A 58-year-old Caucasian woman presented with a history of epigastric discomfort, anorexia, and weight loss over 3 to 4 months and recent-onset jaundice.

Fig. 36.1 Axial contrast-enhanced CT image of the pancreas shows a well-defined fluid density, multicystic mass lesion in the body and tail of the pancreas with thick enhancing nodular wall, septum, and mural excrescences.

Pancreatic mucinous cystadenocarcinoma

• Microcystic tumor
  
• Pseudocyst
  
• Lymphangioma
  
• Complex cyst
  
• Abscess
  
• Dermoid
  
• Neurofibroma
  
• Hydatid cyst
  
• Tuberculosis

Mucinous cystadenocarcinomas are the most common cystic neoplasms seen in the pancreas and account for 50% of all pancreatic cystic neoplasms.