Korean J Med.
2001 Apr;60(4):349-357.
Clinical aspects of the cystic tumors of the pancreas confirmed by operation
- Affiliations
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- 1Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 2Department of General Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. ktlee@smc.samsung.co.kr
Abstract
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BACKGROUND: Cystic tumors of the pancreas are uncommon, and frequently mistaken for pancreatic
pseudocysts. Recently if the patient is a good surgical candidate and is symptomatic,
resection is the treatment of the choice without the cytological and chemical analysis
by the fine needle aspiration. But, we have no data in Korean population. The aim of this
study was to evaluate the subclassification of the cystic tumors of the pancreas and the
differential points between pancreatic pseudocysts and cystic tumors of the pancreas which
had to be operated.
METHODS
fifty-nine patients with cystic lesions of the pancreas have been operated at the Samsung Seoul Hospital from 1994 to 1999 and evaluated about the subclassification, frequency and the difference between pseudocysts and cystic tumors retrogradely.
RESULTS
There were 14 mucinous cystic neoplasms (mucinous cystadenomas : 11 cases, mucinous cyst-adenocarcinomas : 3 cases), 10 serous cystadenomas, 9 solid and papillary epithelial neoplasms, 8 intra-ductal papillary mucinous neoplasms, 5 pseudocysts, 4 retention cysts, 3 endocrine tumors, 1 pancreatic ductal adenocarcinoma with cystic change, 1 solid pseudopapillary tumor, 1 pancreatic ductal adenocarci-noma with pseudocyst, 1 cavernous lymphangioma, 1 lymphoepithelial cyst and 1 simple cyst. 57.6% of the patients were females and the mean age was 50.0 years (16 years-77 years). The characteristics between pseudocysts and cystic tumors of the pancreas (sex differentiation, mean age, previous history of alcohol drinking and pancreatitis, communication with the main duct on the pancreatogram and the sign of the pancreatitis on the radiologic study) had no differences.
CONCLUSION
We conclude there were no other methods to differentiate accurately the pseudocyst from the cystic tumor of the pancreas other than the operation.
