Definition

  • Mucinous cystadenomas
  • Malignant potential 6-36%
  • More common in the body and tail

Histology

  • Columnar epithelium that secretes mucin
  • Ovarian-like stroma (can stain positive for estrogen and progesteron recptos)

Risk

  • 10:1 female
  • Average age 45

Typical imaging

  • Unilocular or septated cyst ± wall calcifications (egg shell sign)
  • Solid component, if present, may suggest malignancy

CEA in FNA

  • 200 ng/mL in approximately 75% of lesions

Malignant potential

  • Moderate

Treatment

  • Resection
  • IAP - resection for all