Abstract:
BACKGROUND:Pancreatic serous cystic tumors are considered to have a benign biological and clinical course with only few malignant cases. METHODS:We retrospectively analyzed data from 26 patients affected by serous cystic tumors consecutively observed in our Pancreas Unit. We explored the different clinical pictures in operated and nonoperated patients. RESULTS:Eighteen of the 26 patients were female (69%), median age at diagnosis was 61.5 years and 20 patients (77%) underwent surgery. The median diameter of the tumors was greater in patients who underwent surgery than in those who did not (5.5 versus 2.3 cm, p < 0.001). Major pancreatic resections were carried out in 15 of the 20 operated patients (75%). Postoperative morbidity and mortality were 20 and 5%, respectively. During follow-up, there was no observed development of malignancy or any significant increase in the diameter of the lesion among nontreated patients. CONCLUSIONS:In asymptomatic patients with a clear imaging diagnosis of serous cystic tumor a wait and see management should be recommended, with a careful follow-up. Surgery should be suggested in symptomatic patients or when the preoperative diagnosis is doubtful.
journal_name
Dig Surgjournal_title
Digestive surgeryauthors
Zanini N,Fantini L,Casadei R,Pezzilli R,Santini D,Calculli L,Minni Fdoi
10.1159/000142947subject
Has Abstractpub_date
2008-01-01 00:00:00pages
233-9; discussion 240issue
3eissn
0253-4886issn
1421-9883pii
000142947journal_volume
25pub_type
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pub_type: 临床试验,杂志文章
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doi:10.1159/000018876
更新日期:2000-01-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Digestive surgery
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