Diagnostic Dilemma: What is the diagnosis for these pancreatic cysts and is the process malignant? (PN01-10)

Patient History:

A 65 year old woman was found to have two cysts in the pancreas, one in the head of the pancreas, the other in the body. The larger cyst was 2.5 cm and the other measured 1.3 cm. Both cysts were aspirated for analysis.

Original Diagnosis:

The aspirated fluids from both cysts were tested and did not provide a definitive diagnosis. (Indeterminate) The sample was then referred to RedPath for a molecular analysis.

RedPath Diagnosis:

Both cysts were found to be low grade, benign intraductal papillary mucinous neoplasms. The benign tumors are considered to be indolent and most likely will not become malignant.

Generic sample of PathFinderTG® quantitative test results. NOTE: A diagnostic interpretation of the quantitative test results is provided by the RedPath Pathologist.
Click here for test result explanation

Clinical Impact:

The cause for this pancreatic cyst formation is found to be a process where a common lesion separates and forms separate cysts. Since these cysts appear to be benign, the patient may not require major surgery at this time. This condition can easily be monitored using CT scanning.