Cystic neoplasms of the pancreas: A heterogeneous disorder

Vinay Dhir, K. M. Mohandas, Vege Santhi Swaroop, Shanta Krishnamurthy, Shubhasa Kane, Devendra C. Desai, Aabha Nagral, P. Jagannath, Luis J. Desouza, Sultan A. Pradhan

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)246-248
Number of pages3
JournalJournal of Surgical Oncology
Volume51
Issue number4
DOIs
StatePublished - Dec 1992

Keywords

  • Pancreatitis
  • Pseudocysts
  • rare tumors

ASJC Scopus subject areas

  • Surgery
  • Oncology

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    Dhir, V., Mohandas, K. M., Swaroop, V. S., Krishnamurthy, S., Kane, S., Desai, D. C., Nagral, A., Jagannath, P., Desouza, L. J., & Pradhan, S. A. (1992). Cystic neoplasms of the pancreas: A heterogeneous disorder. Journal of Surgical Oncology, 51(4), 246-248. https://doi.org/10.1002/jso.2930510409