Most cystic lesions of the pancreas are pseudocysts, however, 10% to 15% are cystic neoplams, including serous cystadenoma and mucinous cystic neoplasms(mucinous cystadenoma and cystadenoma carcinoma). Pseudocysts may resolve spontaneously or may
require a drainage procedure, but total excision is the ideal treatment for pancreatic cystadenoma because it is a true neoplasm which probably posseses a malignant potential.
The authors have reviewed 9 patients(4 patients of mucinous cystadenoma and 5 patients of mucinous cystadenocarcinoma) from January 1981 to December 1990. There were 8 women and 1 man with the mean age of 49.3 years(range. 27 to 68 years).
Abdominal
pain was the most common symptoms(6 patients) with the palpable mass in 3 patients. Ultrasonography showed cystic mass in 7 patients(77.8%). Of those 6patients who underwent CT, all detected the lesion without difficulty. Endoscopic retrograde
cholangiopancreatography(ERCP) were performed in 5 patients with the findings of duct displacements in 3 patients and abrupt cutoff of pancr atic duct in I patients and there was no communication between main duct and cyst. Tail was the most
common
location of the tumor(5 patients) with mean size of 8.9cm (range, 2.0 to 22.0cm). Curative resection were possible in 6 patients(66.7%). Survival time was obtainable in 6 patients. After excluding 2 patients whom died 4 months and 6 months after
surgery
respectively, the median survival duration was 27 months(maximum 69 months). (Korean J Gastroenterol 1994 ; 26 : 728-736).
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