Natural course and outcome of cystic lesions in the pancreas

Lionel R BROUNTS; Ryan K LEHMANN; Marlin W CAUSEY; James A SEBESTA; Tommy A BROWN

doi:10.1016/j.amjsurg.2008.12.010

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Natural course and outcome of cystic lesions in the pancreas

Journal article

Peer reviewed

Natural course and outcome of cystic lesions in the pancreas

Lionel R BROUNTS, Ryan K LEHMANN, Marlin W CAUSEY, James A SEBESTA and Tommy A BROWN

The American journal of surgery, Vol.197(5), pp.619-623

2009

DOI: 10.1016/j.amjsurg.2008.12.010

PMID: 19393355

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Abstract

Background: The number of patients identified with cysts of the pancreas is increasing. The current study was undertaken to assess the natural course and malignant potential of pancreatic cysts. Methods: From 1995 to 2008, radiology records were reviewed for the presence of cystic lesions of the pancreas (CLP) characteristics, patient demographics, and follow-up. Results: Eighty-two patients met the study inclusion criteria, with a mean age at time of diagnosis of 64.4 +/- 16.7 years. Mean cyst size was 1.36 +/- 1.05 cm, with 75.6% of patients having a solitary cyst. Thirteen patients underwent surgery. Operative intervention was statistically related to symptomatic, loculated cysts with the presence of calcifications (all P <.05). Malignancy was statistically related to symptomatic (P <.05), loculated cysts (P <.01), and male gender (P <.05). Conclusions: Our data show that most pancreatic cysts found on radiographic imaging are asymptomatic, solitary, and small and can be followed safely radiographically.

Tumors

Gastroenterology. Liver. Pancreas. Abdomen

Biological and medical sciences

General aspects

Medical sciences

Liver. Biliary tract. Portal circulation. Exocrine pancreas

Details

Title: Subtitle: Natural course and outcome of cystic lesions in the pancreas
Creators: Lionel R BROUNTS - Department of Surgery, Madigan Army Medical Center, Fort, Lewis, WA, United States
Ryan K LEHMANN - Department of Surgery, Madigan Army Medical Center, Fort, Lewis, WA, United States
Marlin W CAUSEY - Department of Surgery, Madigan Army Medical Center, Fort, Lewis, WA, United States
James A SEBESTA - Department of Surgery, Madigan Army Medical Center, Fort, Lewis, WA, United States
Tommy A BROWN - Department of Surgery, Madigan Army Medical Center, Fort, Lewis, WA, United States
Resource Type: Journal article
Publication Details: The American journal of surgery, Vol.197(5), pp.619-623
Publisher: Elsevier; New York, NY
DOI: 10.1016/j.amjsurg.2008.12.010
PMID: 19393355
ISSN: 0002-9610
eISSN: 1879-1883
Language: English
Date published: 2009
Academic Unit: Surgery
Record Identifier: 9984051985102771

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