Evidence map›Paper›PMID 39987046›Full record

ArticleBMC gastroenterology2025

Imaging features of epidermoid cysts in intrapancreatic spleen: a single center study of 24 patients.

Zehua Zhang, Feixiang Hu, Tiansong Xie, Yuqin Zhang, Qiang Zheng, Wei Liu, Lei Chen, Zhengrong Zhou

Abstract read
In one paragraph

Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Zehua Zhang *Department of Radiology, Fudan University Shanghai Cancer Center, Fudan University, No. 270, Dongan Road, Shanghai, 200032, China.
Feixiang Hu *Department of Radiology, Fudan University Shanghai Cancer Center, Fudan University, No. 270, Dongan Road, Shanghai, 200032, China.
Tiansong XieDepartment of Radiology, Fudan University Shanghai Cancer Center, Fudan University, No. 270, Dongan Road, Shanghai, 200032, China.
Yuqin ZhangDepartment of Surgery, Fudan University Shanghai Cancer Center, Minhang Branch hospital, No. 106, Ruili Road, Shanghai, 201100, China.
Qiang ZhengDepartment of Pathology, Fudan University Shanghai Cancer Center, Fudan University, No. 270, Dongan Road, Shanghai, 200032, China.
Wei LiuDepartment of Radiology, Fudan University Shanghai Cancer Center, Fudan University, No. 270, Dongan Road, Shanghai, 200032, China.
Lei ChenDepartment of Radiology, Fudan University Shanghai Cancer Center, Minhang Branch hospital, No. 106, Ruili Road, Shanghai, 201100, China. mac_chenlei@126.com.
Zhengrong ZhouDepartment of Radiology, Fudan University Shanghai Cancer Center, Fudan University, No. 270, Dongan Road, Shanghai, 200032, China. zhouzr-16@163.com.

Funding

Artificial Intelligence Medical Hospital Cooperation Project of Shanghai Xuhui District Science and Technology 23XHYD-13National Natural Science Foundation of China 82471981Natural Science Foundation of Minhang District 2024MHZ020Shanghai Minhang District Health Commission 2023MW28Shanghai Science and Technology Innovation Action Plan and Hong Kong, Macao and Taiwan Sciences and Technology Cooperation Project 22490760800
6 · The paper itself

Abstract

objectiveThis study aims to investigate the imaging features of epidermoid cysts within intrapancreatic accessory spleen (ECIPAS) to benefit the differential diagnosis of pancreatic cystic lesions.

methodsWe retrospectively reviewed the clinical, radiological and pathological data of 24 patients with pathologically confirmed ECIPAS. All cases underwent abdominal contrast-enhanced computed tomography (CE-CT) scans, with 4 cases further undergoing magnetic resonance cholangiopancreatography (MRCP). The imaging features of the lesions were analyzed.

resultsThe majority of the patients were young to middle-aged with no apparent clinical symptoms. Over half of the masses exhibited circular, oval or unilocular architectures. On plain CT, the masses primarily displayed indistinct margins with an average diameter of 3.0 ± 1.1 cm. Nineteen lesions were situated in the pancreatic tail, 1 in the head, 1 in the head-body junction, and 3 in the body. In the arterial phases of enhanced CT scans, the lesions exhibited varying degrees of enhancement: slight enhancement (n = 11), significant enhancement (n = 5), and no discernible enhancement (n = 8) compared to pancreatic parenchyma. On MRCP scan, all four lesions showed hyperintense on T2-weighted imaging (T

conclusionECIPAS is a rare benign lesion, with nearly half exhibiting slightly uneven enhancement on contrast-enhanced CT scans. Usually, the solid-portion-enriched lesions show similar enhancement to that of the spleen, aiding in the precise preoperative diagnosis. ECIPAS can manifest in various locations within the pancreas, including the tail, head, and body. Patients may benefit from improved quality of life by avoiding unnecessary surgeries.

Indexed as

ChoristomaEpidermal CystPancreatic DiseasesSpleenSplenic DiseasesAdolescentAdultAgedCholangiopancreatography, Magnetic ResonanceContrast MediaDiagnosis, DifferentialFemaleHumansMaleMiddle AgedRetrospective StudiesContrast MediaContrast-enhanced computed tomographyDiagnosisEpidermoid cystIntrapancreatic accessory spleenMagnetic resonance cholangiopancreatography

Identifiers

PMID39987046
PMCPMC11847404

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.