Document Detail


Cystic tumors mistaken for pancreatic pseudocysts.
MedLine Citation:
PMID:  3566376     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
A L Warshaw; P L Rutledge
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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    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cystadenocarcinoma / diagnosis*,  pathology,  surgery
Cystadenoma / diagnosis*,  pathology,  surgery
Diagnosis, Differential
Diagnostic Errors
Female
Humans
Male
Middle Aged
Pancreas / pathology
Pancreatectomy
Pancreatic Cyst / diagnosis*
Pancreatic Neoplasms / diagnosis*,  pathology,  surgery
Pancreatic Pseudocyst / diagnosis*,  pathology,  surgery
Reoperation
Time Factors
Comments/Corrections

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


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