Outcomes of cystic lesions in the pancreas after extended follow-up

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...

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Bibliographic Details
Published in:Digestive diseases and sciences 2007-10, Vol.52 (10), p.2653-2659
Main Authors: SANG HYUB LEE, CHEOL MIN SHIN, JOO KYUNG PARK, SANG MYUNG WOO, JI WON YOO, JI KON RYU, YONG BUM YOON, KIM, Yong-Tae
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Diagnosis, Differential
Female
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Odds Ratio
Pancreatectomy - methods
Pancreatic Cyst - diagnosis
Pancreatic Cyst - surgery
Prognosis
Retrospective Studies
Time Factors
Tomography, X-Ray Computed
Tumors
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Summary: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
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-006-9634-y