Feria-Feria G, Carrera-Mayor EC, Hernández-Ramírez DA, Romero-Hernández T, Ramírez-Aceves R, García-Álvarez KG

Language: Spanish
References: 25
Page: 185-190
PDF size: 66.23 Kb.

ABSTRACT

Background: pancreatic cystic lesions (PCL) are identified in 1 % of patients who undergo abdominal computed tomography scans, because it is difficult to discriminate clinically between benign and malignant PCL. The PCL must be distinguished from inflammatory pseudocysts, which can have a similar radiographic appearance. The aim of this study was to review the incidence of PCL during 10 years.
Methods: nineteen consecutive patients who underwent surgical resection of a cystic lesion of the pancreas during a 10-year period were reviewed.
Results: from 1998, 434 patients underwent to pancreatic surgery, 103 (25.75 %) resulted with neoplasm of the pancreas and a PCL was diagnosed in 19 of them (18.44 %). They were more common in women (n = 15, 79 %). The pathologic diagnosis was mucinous cystadenoma (n = 6, 31.5 %) followed by serous cystadenoma and solid cystic papilar tumor (n = 4, 21 %). Mucinous cystadenocarcinoma was diagnosed in a 77 year-old man and a serous cystadenocarcinoma was diagnosed in a 53 years-old woman; cystic degeneration of two insulinomas were diagnosed in a 71 year-old woman and a 32 year-old man (5.26 %).
Conclusions: PCLs represent a spectrum of associated diseases. The incidence of serous cystadenoma is lower in our experience.

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