Clinical Characteristics of Patients With Surgically Resected Pancreatic Cysts: A Retrospective Analysis of 136 Patients

• Published in: Journal of ultrasound in medicine 2023-04, Vol.42 (4), p.901-913
• Main Authors: Gong, Ting‐ting, Wang, Wei
• Format: Article
• Language: English
• Subjects: Aged; Carcinoma, Pancreatic Ductal - pathology; Female; Humans; intraductal papillary mucinous neoplasms; Middle Aged; mucinous cystic neoplasms; Neoplasms, Cystic, Mucinous, and Serous; Pancreatic Cyst - diagnostic imaging; Pancreatic Cyst - pathology; Pancreatic Cyst - surgery; pancreatic cysts; Pancreatic Neoplasms - diagnostic imaging; Pancreatic Neoplasms - surgery; Retrospective Studies; serous cystic neoplasms; solid pseudopapillary neoplasms
• ISSN: 0278-4297; 1550-9613
• DOI: 10.1002/jum.16085

Objectives To retrospectively analyze the characteristics of pancreatic cysts with respect to histopathological diagnosis and various diagnostic imaging tools. Methods The clinical features of 136 patients and characteristics of histopathologically diagnosed cysts were retrospectively assessed. The diagnostic accuracy of endoscopic ultrasound (EUS), computed tomography (CT), and magnetic resonance imaging (MRI) for pancreatic cysts was compared. Risk factors for high‐grade dysplasia/invasive cancer in patients with intraductal papillary mucinous neoplasms (IPMNs) were also determined. Results The final analysis included 30 serous cystic neoplasms (SCNs) (21.6%), 13 mucinous cystic neoplasms (MCNs) (9.4%), 65 IPMNs (46.8%), and 13 solid pseudopapillary neoplasms (SPNs) (9.4%). The percentage of women with MCNs, SPNs, SCNs, and IPMNs was 100.0, 76.9, 73.3, and 47.7%, respectively (P