Cystic lesions of pancreas: challenges in diagnosis and management

Introduction: Pancreatic cysts are common (2.5%). Cystic neoplasms represent 10% of cystic lesions and 1% of pancreatic tumors. However, it is difficult to differentiate benign cyst from malignant cystic lesions preoperatively. Objective: To study the cases of pancreatic cystic lesion who underwen...

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Autores principales:	S Bohara, TY Tamang, DK Maharjan, SK Shrestha, PB Thapa
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	pancreaticoduodenectomy cystadenoma endoscopic ultrasound Surgery RD1-811
Acceso en línea:	https://doaj.org/article/7f931cb7228b4a89a7f5c7527cd974dc
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spelling	oai:doaj.org-article:7f931cb7228b4a89a7f5c7527cd974dc2021-12-05T19:16:31ZCystic lesions of pancreas: challenges in diagnosis and management10.3126/jssn.v18i3.153151815-39842392-4772https://doaj.org/article/7f931cb7228b4a89a7f5c7527cd974dc2016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15315https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Pancreatic cysts are common (2.5%). Cystic neoplasms represent 10% of cystic lesions and 1% of pancreatic tumors. However, it is difficult to differentiate benign cyst from malignant cystic lesions preoperatively. Objective: To study the cases of pancreatic cystic lesion who underwent various forms of pancreatic resection. Materials and Methods: Nine cases of pancreatic cystic lesion who presented to Kathmandu Medical College Teaching Hospital, Surgical Unit 3 within December 2014- November 2015 were evaluated. Four pancreatic cysts who underwent resection are discussed whereas not managed with resection are excluded. Results: There were 4 cases of pancreatic cyst who underwent pancreatic resection. First case underwent pancreaticoduodenectomy for pancreatic mucinous cystadenoma. However histopathological examination revealed a serous cystadenoma. In second case, pancreatic neck lesion suspected to be mucinous cystadenoma or pseudocyst in MRCP, with negative malignant cells in EUS guided FNAC underwent Central pancreatectomy and was found to be serous cystadenoma. The third case with suspected pseudocyst underwent Pancreaticoduodenectomy after a 3X2 cm2 cystic mass was felt at the posteroinferior side of pancreatic head and malignancy was suspected intraoperatively . HPE report was mucinous cystadenoma. The fourth case with pancreatic pseudocyst at tail with duct calculi and chronic pancreatitis underwent distal pancreatectomy with splenectomy with Frey’s procedure. Conclusion: Management of pancreatic cystic lesion is challenging. Though radiological imaging has limited role in accurate diagnosis, endoscopic ultrasound may be of some benefit. S BoharaTY TamangDK MaharjanSK ShresthaPB ThapaSociety of Surgeons of Nepalarticlepancreaticoduodenectomycystadenomaendoscopic ultrasoundSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	pancreaticoduodenectomy cystadenoma endoscopic ultrasound Surgery RD1-811
spellingShingle	pancreaticoduodenectomy cystadenoma endoscopic ultrasound Surgery RD1-811 S Bohara TY Tamang DK Maharjan SK Shrestha PB Thapa Cystic lesions of pancreas: challenges in diagnosis and management
description	Introduction: Pancreatic cysts are common (2.5%). Cystic neoplasms represent 10% of cystic lesions and 1% of pancreatic tumors. However, it is difficult to differentiate benign cyst from malignant cystic lesions preoperatively. Objective: To study the cases of pancreatic cystic lesion who underwent various forms of pancreatic resection. Materials and Methods: Nine cases of pancreatic cystic lesion who presented to Kathmandu Medical College Teaching Hospital, Surgical Unit 3 within December 2014- November 2015 were evaluated. Four pancreatic cysts who underwent resection are discussed whereas not managed with resection are excluded. Results: There were 4 cases of pancreatic cyst who underwent pancreatic resection. First case underwent pancreaticoduodenectomy for pancreatic mucinous cystadenoma. However histopathological examination revealed a serous cystadenoma. In second case, pancreatic neck lesion suspected to be mucinous cystadenoma or pseudocyst in MRCP, with negative malignant cells in EUS guided FNAC underwent Central pancreatectomy and was found to be serous cystadenoma. The third case with suspected pseudocyst underwent Pancreaticoduodenectomy after a 3X2 cm2 cystic mass was felt at the posteroinferior side of pancreatic head and malignancy was suspected intraoperatively . HPE report was mucinous cystadenoma. The fourth case with pancreatic pseudocyst at tail with duct calculi and chronic pancreatitis underwent distal pancreatectomy with splenectomy with Frey’s procedure. Conclusion: Management of pancreatic cystic lesion is challenging. Though radiological imaging has limited role in accurate diagnosis, endoscopic ultrasound may be of some benefit.
format	article
author	S Bohara TY Tamang DK Maharjan SK Shrestha PB Thapa
author_facet	S Bohara TY Tamang DK Maharjan SK Shrestha PB Thapa
author_sort	S Bohara
title	Cystic lesions of pancreas: challenges in diagnosis and management
title_short	Cystic lesions of pancreas: challenges in diagnosis and management
title_full	Cystic lesions of pancreas: challenges in diagnosis and management
title_fullStr	Cystic lesions of pancreas: challenges in diagnosis and management
title_full_unstemmed	Cystic lesions of pancreas: challenges in diagnosis and management
title_sort	cystic lesions of pancreas: challenges in diagnosis and management
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/7f931cb7228b4a89a7f5c7527cd974dc
work_keys_str_mv	AT sbohara cysticlesionsofpancreaschallengesindiagnosisandmanagement AT tytamang cysticlesionsofpancreaschallengesindiagnosisandmanagement AT dkmaharjan cysticlesionsofpancreaschallengesindiagnosisandmanagement AT skshrestha cysticlesionsofpancreaschallengesindiagnosisandmanagement AT pbthapa cysticlesionsofpancreaschallengesindiagnosisandmanagement
_version_	1718371075520200704

Cystic lesions of pancreas: challenges in diagnosis and management

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