Korean J Gastroenterol.  1999 Dec;34(6):815-826.

Cystic Neoplasm of the Pancreas: Its Diagnosis and Treatment

Abstract

BACKGROUND/AIMS: It is important to differentiate cystic neoplasm of the pancreas from pseudocyst and distinguish individual cystic neoplasm for optimal treatment.
METHODS
Clinicopathologic characteristics of sixty-four patients with cystic neoplasms of the pancreas who were treated surgically from March 1984 through February 1998 at Seoul National University Hospital were reviewed.
RESULTS
Their ages ranged from 8 to 78 years with a mean of 42.6. The 78.1% of the patients were women. There were 21 mucinous cystic tumors, 17 serous cystadenomas, 19 solid and papillary epithelial neoplasms, and 7 others. Three patients showed distal metastases. About two thirds were diagnosed accurately by radiological studies. Mucinous cystic tumor tended to have higher levels of amylase, carcinoembrionic antigen, CA 19-9, and CA 125 in the cystic fluid than other cystic tumors. The epithelial cells were found in only half of the cases on cytologic examination. Fifty-eight patients are still alive. Their survival periods are from 3 to 146 months. However, of four patients with mucinous cystic tumor, two patients whose lesions had been considered as benign and not resected, were dead.
CONCLUSIONS
Cystic fluid analysis helps the differential diagnosis in the cystic lesions of the pancreas. Cystic neoplasms of the pancreas should be resected unless the typical small serous cystadenoma is located in the head of the pancreas of the high-risk patients.

Keyword

Serous cystadenoma; Mucinous cystadenoma; Solid and papillary epithelial neoplasm; Acinar cell carcinoma; Cystic islet cell tumor

MeSH Terms

Amylases
CA-19-9 Antigen
Carcinoma, Acinar Cell
Cystadenoma, Mucinous
Cystadenoma, Serous
Diagnosis*
Diagnosis, Differential
Epithelial Cells
Female
Head
Humans
Mucins
Neoplasm Metastasis
Neoplasms, Glandular and Epithelial
Pancreas*
Seoul
Amylases
CA-19-9 Antigen
Mucins
Full Text Links
  • KJG
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2023 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr