Document Detail

Cystic tumors mistaken for pancreatic pseudocysts.
MedLine Citation:
PMID:  3566376     Owner:  NLM     Status:  MEDLINE    
A small fraction of pancreatic cysts are neoplastic rather than inflammatory in origin. Failure to recognize the true nature of a neoplastic cyst will lead to an incorrect treatment strategy. This is a report of eight patients whose cystic neoplasms were misdiagnosed and maltreated. Five of the eight tumors proved to be malignant. Five were drained by anastomosis to a viscus and one by aspiration; drainage was recommended for the other two. Treatment by drainage led to complications (persistent painful gastric ulcer, infection in the cysts), growth of new cysts, no cures, but missed opportunities to cure cancer. Three patients with no metastases at first operation had metastatic spread to the liver, omentum, or lungs at reoperation. In three of the five cases initially treated by cystenterostomy (including one cancer), subsequent resection was possible and probably curative. One cystadenocarcinoma was watched for 3 years before apparently curative resection. Guidelines based on serum and cyst amylase levels, morphologic appearance, angiography, pancreatography, and biopsy are given for the purpose of differentiating inflammatory cysts from neoplastic cysts of the pancreas. Confusion of these entities should not occur, but errors can often be corrected.
A L Warshaw; P L Rutledge
Related Documents :
24285986 - A keratocyst in the buccal mucosa with the features of keratocystic odontogenic tumor.
24082196 - Pilomatrixoma - presented as hypopigmented tender nodule: diagnosed by fnac: a case rep...
23720986 - Huge peritoneal malignant mesothelioma mimicking primary ovarian carcinoma.
23965466 - Laser vaporization of extravasation type of mucocele of the lower lip with 940-nm diode...
6268556 - Experimentally induced synovial sarcoma.
11309036 - Concurrent pilomatrix carcinoma and giant pilomatrixoma.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Annals of surgery     Volume:  205     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1987 Apr 
Date Detail:
Created Date:  1987-05-01     Completed Date:  1987-05-01     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  393-8     Citation Subset:  AIM; IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Cystadenocarcinoma / diagnosis*,  pathology,  surgery
Cystadenoma / diagnosis*,  pathology,  surgery
Diagnosis, Differential
Diagnostic Errors
Middle Aged
Pancreas / pathology
Pancreatic Cyst / diagnosis*
Pancreatic Neoplasms / diagnosis*,  pathology,  surgery
Pancreatic Pseudocyst / diagnosis*,  pathology,  surgery
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The treatment of acute cholangitis. Percutaneous transhepatic biliary drainage before definitive the...
Next Document:  Focal gastric mucosal blood flow in aspirin-induced ulceration.