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10 May 2017
Naoual Benhmidou1, Fadoua Rais1, Fadila Kouhen2, Abdelhak Maghous1, Hasna Loughlimi1, Khadija Bellahammou3, Hanan Elkacemi1, Tayeb Kebdani1, Sanaa Elmajjaoui1, Noureddine Benjaafar1 1)
10 May 2017
Khadija Bellahammou1, Asmaa Lakhdissi1,
10 May 2017
Khaled Moursy Salama1, Monira T.
02 April 2017
Bardia Bidarmaghz, Ryo Mizumoto, Rasika

PANCREATIC CYSTIC NEOPLASMS: A CASE SERIES

Murat Özgür Kılıç1, Ahmet Erdoğan1, Cengiz Ceylan1, Barış Saylam1, Mesut Tez1

1) Department of General Surgery, Numune Training and Research Hospital, Ankara, Turkey.

Disclosure: The author has declared no conflicts of interest.

Received: 14.01.16 Accepted: 30.01.16

Citation: 10.5455/ijsm.pancreaticcyst

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Abstract:

Background: Cystic neoplasms of the pancreas are a special heterogeneous group of pancreatic tumors with variable clinical and diagnostic characteristics. Its incidence has dramatically increased in recent years due to technological improvements in cross-sectional imaging methods, rising in awareness of their existence, and increased in human life-spam.
Aim: To evaluate the clinical, radiological, and surgical characteristics of pancreatic cystic neoplasm.
Methods: The clinical findings, diagnostic features, therapeutic managements, and oncological outcomes of 16 patients with pancreatic cystic neoplasm were retrospectively evaluated.
Results: There were nine female and seven male patients, with a mean age of 54 years. More than half of the patients (56.3%) were asymptomatic. Abdominal pain and icterus were the most common symptom and sign, respectively. Computed tomography and magnetic resonance imaging showed the cystic lesion in all patients. Magnetic resonance imaging revealed a connection between cystic tumor with pancreatic duct in 8 (50%) cases. Pancreaticoduodenectomy was the most performed operation. Pancreatic adenocarcinoma with cystic degeneration and solid pseudopapillary neoplasia were the most frequent diagnoses at the final histopathology. Pancreatic fistula was developed in one case. One patient died during the postoperative period. Two patients who had adenocarcinoma developed recurrence during the follow-up period.
Conclusion: The discrimination of pancreatic cystic neoplasms is usually difficult preoperatively. Therefore, the structure and the localization of the lesion, and the involvement of pancreatic ductal system should be clearly demonstrated by imaging modalities for a correct surgical planning.

Keywords: Diagnosis, management, pancreatic cystic neoplasm


How to Cite this Article

Bibliography

Kilic, M., Erdogan, A., Ceylan, C., Saylam, B. and Tez, M. (2016) ‘Pancreatic cystic neoplasms: A case series’, International Journal of Surgery and Medicine, 2(4), pp. 197–201. doi: 10.5455/ijsm.pancreaticcyst.

Citations, Quotes & Annotations

Kilic, M., Erdogan, A., Ceylan, C., Saylam, B. and Tez, M. (2016) ‘Pancreatic cystic neoplasms: A case series’, International Journal of Surgery and Medicine, 2(4), pp. 197–201. doi: 10.5455/ijsm.pancreaticcyst.
(Kilic et al., 2016)
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