What are SCNs?

Similar clinical presentation as MCN, mostly in body or tail of pancreas in women with age 62 years. associated with von Hippel-Lindau disease, most pt present with vague abdominal pain, palpable mass (tumor size 10-25 cm), majority are asymptomatic Well circumscribed pancreatic neoplasm, shows numerous tiny cysts with fibrous septa (honeycomb shape) Filled with clear watery fluid arranged as stellate scar (may be calcified) Spongy mass w/central sunburst calcification (pathogneumonic) EUS shows honeycombing (more than CT), Low viscosity, low CEA, - cytology All are asymptomatic, survielence by imaging, not pre neoplasm (not cancerous) and doesn't need resection unless new onset of symptoms.