Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
|
| pubmed:dateCreated |
1992-12-14
|
| pubmed:abstractText |
Twenty-one patients with pancreatic cystic neoplasms (PCNs) were treated from 1970 to 1991. Their mean age was 54 years (range: 30 to 78 years), and 15 (71%) were women. Symptoms were present for a mean of 18 months (range: 5 to 60 months) and included pain (95%), abdominal mass (52%), weight loss (38%), and jaundice (14%). Nine patients had had previous operations and were either misdiagnosed or incorrectly treated; another seven patients had preoperative misdiagnoses of pseudocysts. There were six (29%) serous cystadenomas and two (10%) mucinous cystadenomas. These were treated by excision (n = 2), distal pancreatectomy (n = 5), or pancreatoduodenectomy (n = 1). No recurrence or malignant degeneration occurred during the mean follow-up of 9 years (range: 1 to 19 years). There were 13 (62%) patients with mucinous cystadenocarcinomas. Of these 13 patients, 3 had unresectable tumors, underwent palliative procedures, and died at 4, 7, and 9 months, respectively. Ten patients underwent pancreatoduodenectomy (n = 4), distal (n = 4) pancreatectomy, or total (n = 2) pancreatectomy: 1 died of recurrence (survival: 8 months), and the remaining 9 patients had a mean survival of 6 years (range: 2 to 20 years) without recurrence. This experience suggests that patients with PCNs have a good prognosis and are curable if the cysts are diagnosed early and completely resected.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Nov
|
| pubmed:issn |
0002-9610
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
164
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
437-41; discussion 441-2
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:1279997-Adult,
pubmed-meshheading:1279997-Aged,
pubmed-meshheading:1279997-Cystadenocarcinoma,
pubmed-meshheading:1279997-Cystadenoma,
pubmed-meshheading:1279997-Diagnosis, Differential,
pubmed-meshheading:1279997-Diagnostic Imaging,
pubmed-meshheading:1279997-Female,
pubmed-meshheading:1279997-Follow-Up Studies,
pubmed-meshheading:1279997-Humans,
pubmed-meshheading:1279997-Laparotomy,
pubmed-meshheading:1279997-Male,
pubmed-meshheading:1279997-Middle Aged,
pubmed-meshheading:1279997-Neoplasms, Multiple Primary,
pubmed-meshheading:1279997-Palliative Care,
pubmed-meshheading:1279997-Pancreatectomy,
pubmed-meshheading:1279997-Pancreatic Neoplasms,
pubmed-meshheading:1279997-Pancreatic Pseudocyst,
pubmed-meshheading:1279997-Survival Rate,
pubmed-meshheading:1279997-Treatment Outcome
|
| pubmed:year |
1992
|
| pubmed:articleTitle |
Characteristics of cystic neoplasms of the pancreas and results of aggressive surgical treatment.
|
| pubmed:affiliation |
Department of Surgery, University of Kansas Medical Center, Kansas City 66160-7309.
|
| pubmed:publicationType |
Journal Article
|