Diagnosis and treatment in cystic neoplasms of the pancreas: Analysis of 12 cases and review of the literature
Journal Title: Dicle Tıp Dergisi - Year 2012, Vol 39, Issue 4
Abstract
Objectives: Cystic Neoplasms of the Pancreas (CNP) accounts for only 1-5% of all pancreatic neoplasms but in recent years approximately 30% of all pancreatic resections are performed for CNP. In this study we aimed to argue diagnosis, treatment and outcomes of the patients whom operated in our clinic for CNP. Materials and methods: The demographic characteristics, preoperative findings, surgical procedures, histopathological diagnosis, postoperative complications and long term follow-up outcomes of the CNP patients operated in our clinic between 2009 -Jan and 2012-Feb were evaluated. Results: One patient was male,11 patients were female and mean age was 51,5 years (19-73 years).Localizations of the lesions were in the head of pancreas for 4 patients, in the body for 2 patients and in tail for 6 patients. Mean size of the cysts was 5.1 cm (3-10 cm).Pylorus-reserved pancreaticoduodenectomy for 4 patients, subtotal/ distal pancreatectomy + splenectomy for 7 patients and spleen reserved distal pancreatectomy was performed for 1 patient. Histopathological diagnosis was reported as serous cystadenoma in 6, mucinous cystadenoma in 3, mucinous cystadenocarcinoma in 2 and pseudocyst in 1 patient respectively. Postoperative complication rate was 33%. Mean follow-up time was 18.4 months (2-38 months). Conclusions: Management should be based upon on carefully weighting the malignant potential of a pancreatic cystic lesions and the risk of surgery. Key words: Pancreas, cystic neoplasm, resection
Authors and Affiliations
Faruk Karateke, Ebru Menekşe, Koray Daş, Sefa Özyazıcı, Selim Sözen, Hilmi Bozkurt, Safa Önel, Mehmet Özdoğan
Keywords
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