Outcomes of Cystic Lesions in the Pancreas After Extended Follow-up

被引:0
作者
Sang Hyub Lee
Cheol Min Shin
Joo Kyung Park
Sang Myung Woo
Ji Won Yoo
Ji Kon Ryu
Yong Bum Yoon
Yong-Tae Kim
机构
[1] Seoul National University College of Medicine,Department of Internal Medicine and Liver Research Institute
[2] Seoul National University Hospital,Department of Internal Medicine
来源
Digestive Diseases and Sciences | 2007年 / 52卷
关键词
Pancreas; Cyst; Natural history;
D O I
暂无
中图分类号
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摘要
Incidental pancreatic cysts are frequently detected, but no appropriate management guidelines have been issued for their management because their natural history is relatively unknown. The aim of this study was to investigate their long-term clinical outcomes. Pancreatic cysts detected from 1998 to 2004 were retrospectively reviewed in patients followed up for more than 3 months. A total of 182 patients with incidental pancreatic cysts (initial mean size, 1.8±1.1 cm) underwent follow-up for an average of 35.4 months. An age≥60 years was found to be associated with an increase in cyst size, with an odds ratio of 2.56. Two malignant cysts were found among 20 patients who underwent surgical resection during follow-up. Old age was also associated with the presence of a premalignant or malignant cyst (P<0.01). Although the majority of incidental pancreatic cysts show an indolent behavior, long-term, regular follow-up studies should be considered for all pancreatic cysts, especially in the elderly.
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页码:2653 / 2659
页数:6
相关论文
共 185 条
  • [11] Thayer SP(2004)Cystic pancreatic neoplasms: observe or operate Ann Surg 239 651-657
  • [12] Rattner DW(1992)Spectrum of cystic tumors of the pancreas Am J Surg 163 117-123
  • [13] Brugge WR(1998)Cystadenomas of the pancreas: Is enucleation an adequate operation? Ann Surg 227 896-903
  • [14] Warshaw AL(1999)Large cystic pancreatic neoplasms: pathology, resectability, and outcome Ann Surg Oncol 6 682-690
  • [15] Megibow AJ(1990)Cystic tumors of the pancreas. New clinical, radiologic, and pathologic observations in 67 patients Ann Surg 212 432-443
  • [16] Lombardo FP(1993)Ultrasonographic follow-up study of small pancreatic cysts of unknown etiology Bildgebung 60 209-214
  • [17] Guarise A(2006)Pancreatic cysts 3 cm or smaller: how aggressive should treatment be? Radiology 238 912-919
  • [18] Carbognin G(2005)Natural history of indeterminate pancreatic cysts Surgery 138 665-670
  • [19] Scholes J(2005)The natural history of the incidentally discovered small simple pancreatic cyst: long-term follow-up and clinical implications AJR Am J Roentgenol 184 20-23
  • [20] Rofsky NM(1999)Cystadenomas and cystadenocarcinomas of the pancreas: a multiinstitutional retrospective study of 398 cases. French Surgical Association Ann Surg 230 152-161