TY - JOUR
T1 - Cystic neoplasms of the pancreas
T2 - A heterogeneous disorder
AU - Dhir, Vinay
AU - Mohandas, K. M.
AU - Swaroop, Vege Santhi
AU - Krishnamurthy, Shanta
AU - Kane, Shubhasa
AU - Desai, Devendra C.
AU - Nagral, Aabha
AU - Jagannath, P.
AU - Desouza, Luis J.
AU - Pradhan, Sultan A.
PY - 1992/12
Y1 - 1992/12
N2 - Cystic neoplasms of the pancreas are rare tumors with a relatively better prognosis as compared to other pancreatic cancers. They may be mistaken for pseudocysts. Seventeen patients who underwent surgical resection were analyzed. Seventy percent of the patients were females and 76.7% of the tumors were located in the tail of the pancreas. Preoperative diagnosis was made on the basis of ultrasonography and/or computed tomography findings in 60% of patients. Retrospective review of the imaging modalities revealed one or more findings suggestive of cystic neoplasms in 90% of the patients. These included multiloculated cysts, thickened cyst wall, intracystic mass or calcifications, and presence of liver metastasis. All the tumors were completely or partly excised. The final histopathological diagnosis was microcystic adenoma in 2, mucinous cyst adenoma in 1, papillary cystic neoplasm in 3, cystic neuroendocrine tumor in 5, and cystadenocarcinoma in 6. Of the 17 patients, 10 had malignant tumors. Seven patients with benign tumors and 3 patients with malignant tumors are disease free 12–30 months after resection. Cystic neoplasm must always be considered as a possibility when dealing with cystic lesions of the pancreas and a careful evaluation of ultrasonography and computed tomo‐graphic scan may give a clue to the diagnosis. © 1992 Wiley‐Liss, Inc.
AB - Cystic neoplasms of the pancreas are rare tumors with a relatively better prognosis as compared to other pancreatic cancers. They may be mistaken for pseudocysts. Seventeen patients who underwent surgical resection were analyzed. Seventy percent of the patients were females and 76.7% of the tumors were located in the tail of the pancreas. Preoperative diagnosis was made on the basis of ultrasonography and/or computed tomography findings in 60% of patients. Retrospective review of the imaging modalities revealed one or more findings suggestive of cystic neoplasms in 90% of the patients. These included multiloculated cysts, thickened cyst wall, intracystic mass or calcifications, and presence of liver metastasis. All the tumors were completely or partly excised. The final histopathological diagnosis was microcystic adenoma in 2, mucinous cyst adenoma in 1, papillary cystic neoplasm in 3, cystic neuroendocrine tumor in 5, and cystadenocarcinoma in 6. Of the 17 patients, 10 had malignant tumors. Seven patients with benign tumors and 3 patients with malignant tumors are disease free 12–30 months after resection. Cystic neoplasm must always be considered as a possibility when dealing with cystic lesions of the pancreas and a careful evaluation of ultrasonography and computed tomo‐graphic scan may give a clue to the diagnosis. © 1992 Wiley‐Liss, Inc.
KW - Pancreatitis
KW - Pseudocysts
KW - rare tumors
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U2 - 10.1002/jso.2930510409
DO - 10.1002/jso.2930510409
M3 - Article
C2 - 1434655
AN - SCOPUS:0026489645
SN - 0022-4790
VL - 51
SP - 246
EP - 248
JO - Journal of Surgical Oncology
JF - Journal of Surgical Oncology
IS - 4
ER -