Pancreas in hereditary syndromes: Cross-sectional imaging spectrum

Venkata Katabathina, Suryakala Buddha, Hamid Rajebi, Jignesh N. Shah, Ajay C. Morani, Meghan G. Lubner, Anil Dasyam, Alia Nazarullah, Christine O. Menias, Srinivasa R. Prasad

Research output: Contribution to journalArticlepeer-review

Abstract

A wide spectrum of hereditary syndromes predispose patients to distinct pancreatic abnormalities, including cystic lesions, recurrent pancreatitis, ductal adenocarcinoma, nonductal neoplasms, and parenchymal iron deposition.While pancreatic exocrine insufficiency and recurrent pancreatitis are common manifestations in cystic fibrosis and hereditary pancreatitis, pancreatic cysts are seen in von Hippel–Lindau disease, cystic fibrosis, autosomal dominant polycystic kidney disease, and McCune-Albright syndrome. Ductal adenocarcinoma can be seen in many syndromes, including Peutz-Jeghers syndrome, familial atypical multiple mole melanoma syndrome, Lynch syndrome, hereditary breast and ovarian cancer syndrome, Li-Fraumeni syndrome, and familial pancreatic cancer syndrome. Neuroendocrine tumors are commonly seen in multiple endocrine neoplasia type 1 syndrome and von Hippel–Lindau disease. Pancreatoblastoma is an essential component of BeckwithWiedemann syndrome. Primary hemochromatosis is characterized by pancreatic iron deposition. Pancreatic pathologic conditions associated with genetic syndromes exhibit characteristic imaging findings. Imaging plays a pivotal role in early detection of these conditions and can positively affect the clinical outcomes of those at risk for pancreatic malignancies. Awareness of the characteristic imaging features, imaging-based screening protocols, and surveillance guidelines is crucial for radiologists to guide appropriate patient management.

Original languageEnglish (US)
Pages (from-to)1082-1102
Number of pages21
JournalRadiographics
Volume41
Issue number4
DOIs
StatePublished - Jul 1 2021

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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