Cystic neoplasms of the pancreas are known to be rare, and about 400 cases have been reported in the literatures. These neoplasms account for 10 to 15 percent of all pancreatic cysts and just 1 percent of pancreatic exocrine malignancies.
Nevertheless
with adequate therapy, these tumors constitute one of the few curable neoplasms of the pancreas, and it is essential that they be promptly recognized and aggressively treated. A clinical analysis was made on 10 cases of pancreatic cystic neplasms
which
were surgically treated in the period from 1979 to 1993 at the Department of Surgery, Pusan Paik hospital. The ratio of male to female was 1:5 Common complaints at admission were epigastric pain and abdominal mass. Average duration of symptom was
5
months(range: 1 to 12 months). Pathologic diagnosis was serous cystadenoma in one case(10%), mucinous cystadenoma in four cases(40%), mucinous cystadenocarcinoma in three cases(30%) and papillary cystic neoplasm in two cases(40%), mucinous
cystadenocarcinoma in three cases(30%) and papillary cystic neoplasm in two cases(20%). Operative procedures were pancreatoduodenectomy(n=4) distal pancreatectomy(n=4), enucleation(n=1) and double Roux-en-Y cystojejunostomy(n=1), Six of eight
follow up
patients are alive and disease free, two of whom have lived for more than ten years after surgery. Because resection affords and excellent prognosis in most cases, it is imperative that these tumors must be differentiated from pancreatic
pseudocysts.
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