Cystic pancreas neoplasias
Helpap, B.; Wolff, P.
Der Chirurg; Zeitschrift für Alle Gebiete der Operativen Medizen 56(1): 41-45
1985
ISSN/ISBN: 0009-4722 PMID: 2982554 Document Number: 265620
For the treatment of cystic changes of the pancreas, it is essential to distinguish cysts and pseudocysts from neoplasm. Since clinical parameters are usually not characteristic, only morphologic analysis will prove a diagnosis. Nowadays, the cystic pancreatic neoplasms are described as: microcystic adenoma (rich-in-glycogene cystadenoma), and mucinous cystic neoplasms (cystadenocarcinoma or cystadenoma). Morphology, etiology, clinical findings, and treatment are discussed on 3 cases. The new classification of cystic pancreatic neoplasms is important for prognosis in two aspects: 1) On the clinical finding of a pseudocyst, every surgeon should think of a mucinous cystic neoplasm and look for solid tumours digitally. 2) For the pathologist, any mucinous neoplasm should cause him to analyse such cysts macroscopically and, if possible, also microscopically, to rule out an adenocarcinoma.