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Cystic Tum ors that are m ucinous Mucinous cystic neoplasm s Intraductal papillary m ucinous neoplasm s M ucinous cystic neoplasm s A lm ost alw ays arise in w om en O ften come up in the physique or tail of the pancreas Essentially never come up from or contain the pancreatic duct system the epithelial lining is m ade up of colum nar m ucinous cells and the supporting strom a is cellular and has an ovarian strom al phenotype – H istologically seems like ovarian strom a – Expresses sim ilar m arkers (estrogen receptors, progesterone receptors) M ucinous cystic neoplasm s these tum ors may be benign, borderline or m alignant – Benign: no epithelial dysplasia – Borderline: epithelial dysplasia – M alignant: invasive adenocarcinom a these tum or have m alignant potential and if in any respect possible surgical resection is suggested M ucinous cystic neoplasm s Severallarge cysts Tallcolumnarmucinousepith elium O variantype stroma Intraductal papillary m ucinous cystic neoplasm A rise m ore regularly in m en A rise m ore frequently in the head of pancreas A rise from and contain the m ajor and m inor pancreatic ducts the epithelial lining is com prised of m ucinous colum nar cells Can be benign, borderline or m alignant – Thus have m alignant potential and ought to be resected Intraductal papillary m ucinous neoplasm Papillary projectionswith inadilated duct Dilated ductwith papillary projections Islet Cell Tum ors (Pancreatic Endocrine Tum ors or Pancreatic N euroendocrine Tum ors) N orm al pancreas Sm all groups of endocrine cells (Islets of Langerhans) w hich secrete horm ones similar to insulin, glucagon and gastrin IsletsofL angerh ans Pancreatic N euroendocrine Tum ors R are com pared to adenocarcinom a Clinical presentation – M ay current w ith sym ptom s related to elevated horm one secretion H yperinsulinem ia inflicting hypoglycem ia H ypergastrinem ia causing elevated gastric acid manufacturing and extreme ulcers (Zollinger. 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