Pancreatic Serous Cystadenomas Report of 8 Cases with a Mean Follow up of 7 Years

摘要

Serous cystadenoma of the pancreas are rare tumors and have little or no malignant potential.We report our experience in the management of eight casses of these tumors in the last 22 years. All thepatients were women with a mean age of 59 years. All the cysts caused symptoms. Ultrasound and CTscanwere useful in the diagnosis of the pancreatic cystic tumor out not in determining the nature of theselesions clear. FNA-biopsy was performed in 6 cases but in only one c se was the diagnosis confirmed. Alltumors were resected. Four radical pancreatoduodenectomies, two distal pancreatectomies and twocystectomies were performed. Mean followup was 83.5 months. All patients are alive and with no signs ofrecurrence. Complications include an external pancreatic fistula, an acute cholangitis and a case ofdelayed gastric emptying. In all cases the histological diagnosis was serous cystadenoma of the pancreas.We conclude that resection of these tumors is mandatory although they are supposed to be benign, inorder to avoid complications and because malignant transformations has been related to nonresectivetreatment.