Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Journal of Gastrointestinal Cancer
Erschienen in: Journal of Gastrointestinal Cancer 2/2010

01.06.2010 | Review Article

Solitary True Cyst of Pancreas: Report of a Case and Review of Literature

verfasst von: Mohammad Atif Khan, G. R. Verma

Erschienen in: Journal of Gastrointestinal Cancer | Ausgabe 2/2010

Einloggen, um Zugang zu erhalten

Abstract

Context

Solitary true cysts of the pancreas in adults are extremely rare, and only few cases have been reported in the literature. The etiology and natural history of these lesions remain unknown, and treatment is not standardized. We describe an additional resected case.

Case reports

A 55-year-old female who presented to us with a history of heaviness and pain in right upper abdomen for 1 year. CT scan of abdomen showed a large unilocular cyst in the region of the head of the pancreas. The patient underwent pancreatico-duodenectomy with binding pancreaticojejunostomy. The histology of cyst revealed true unilocular pancreatic cyst lined by cuboidal epithelium. She is well after 3 years of follow-up.

Conclusions

A preoperative work-up alone does not always allow an accurate diagnosis, but it is useful in determining lesion characteristics and guiding therapeutic decision-making. When surgery is indicated, a limited resection is warranted in most cases.
Literatur
1.
Bradley EL, Clements JL, Gonzalez AC. The natural history of pancreatic pseudocyst: a unified concept of management. Am J Surg. 1979;137:135–41.CrossRefPubMed
2.
Hulke J. Pancreatic cyst. Lancet. 1892;23:1309–12.
3.
Niggard KK, Stacy LJ. Solitary congenital (dysontogenetic) cyst of the pancreas. Report of a case. Arch Surg. 1942;45:206–12.
4.
Jordan Jr GL. Pancreatic cyst. In: Howard JM, Jordan Jr GL, editors. Surgical diseases of pancreas. Philadelphia: JB Lippincott; 1960. p. 283–320.
5.
Wolloch Y, Chaimoff C, Lubin E, et al. Splenic vein thrombosis, segmental portal hypertension, and bleeding esophageal varices produced by congenital pancreatic cyst. Israel J Med Sci. 1974;10:670–3.PubMed
6.
Mao C, Greenwood S, Wagner S, et al. Solitary true cyst of pancreas in an adult. Int J Pancreatol. 1992;12:181–6.PubMed
7.
Sperti C, Pasquali C, Constantino V, et al. Solitary true cyst of pancreas in adults. Int J Pancreatol. 1995;18:161–7.PubMed
8.
Spinelli KS, Fromwiller TE, Daniel RA, et al. Cystic pancreatic neoplasm. Observe or operate. Ann Surg. 2004;239:651–9.CrossRefPubMed
9.
10.
Goh BK, Tan YM, Cheow PC, et al. Cystic neoplasms of the pancreas with mucin-production. Eur J Surg Oncol. 2005;31:282–7.CrossRefPubMed
11.
Ooi LL, Ho GH, Chew SP, et al. Cystic tumours of the pancreas: a diagnostic dilemma. Aust NZ J Surg. 1998;68:844–6.
12.
Horvath K, Chabot JA. An aggressive resectional approach to cystic neoplasms of the pancreas. Am J Surg. 1999;178:269–74.CrossRefPubMed
13.
Fernandez-del Castillo C, Warshaw AL. Cystic tumors of the pancreas. Surg Clin North Am. 1995;75:1001–16.PubMed
14.
Fernandez-del Castillo C, Warshaw AL. Current management of cystic neoplasms of the pancreas. Adv Surg. 2000;34:237–48.PubMed
15.
Allen PJ, Jaques DP, D’Angelica M, et al. Cystic lesions of the pancreas: selection criteria for operative and nonoperative management in 209 patients. J Gastrointest Surg. 2003;7:970.CrossRefPubMed
16.
Goh BK, Tan YM, Chung YF, et al. (2010) Non-neoplastic pancreatic cystic and cystic-like lesions of the pancreas: unusual mimickers of pancreatic cystic neoplasms. ANZ J Surg (in press).
17.
Goh BK, Tan YM, Tan PH, et al. Mucinous nonneoplastic cyst: a truly novel pathological entity? World J Gastroenterol. 2005;11:2045–7.PubMed
18.
Fernandez-del Castillo C, Targarona J, Thayer SP, et al. Incidental pancreatic cysts. Clinicopathologic characteristics and comparison with symptomatic patients. Arch Surg. 2003;138:427–34.CrossRefPubMed
19.
Brugge WR, Lauwers GY, Sahani D, et al. Cystic neoplasms of the pancreas. N Engl J Med. 2004;351:1218–26.CrossRefPubMed
20.
Kiely JM, Nakeeb A, Komorowski RA, et al. Cystic pancreatic neoplasms: enucleate or resect? J Gastrointest Surg. 2003;7:890–7.CrossRefPubMed
21.
Curry CA, Eng J, Horton KM, et al. CT of primary cystic pancreatic neoplasms: can CT be used for patient triage and treatment? AJR Am J Roentgenol. 2000;175:99–103.PubMed
22.
Sarr MG, Carpenter HA, Prabhakar LP, et al. Clinical and pathologic correlation of 84 mucinous cystic neoplasms of the pancreas. Ann Surg. 2000;231:205–12.CrossRefPubMed
23.
Brugge WL, Lewandrowski K, Lee-Lewandrowski E, et al. Diagnosis of pancreatic cystic neoplasms: a report of the cooperative pancreatic cyst study. Gastroenterology. 2004;126:1330–6.CrossRefPubMed
24.
Goh BK. Diagnosis of pancreatic cystic neoplasms: a report of the cooperative pancreatic cyst study. Gastroenterology. 2005;128:1529–36.CrossRefPubMed
25.
Tanno S, Obara T, Izawa T, et al. Solitary true cyst of the pancreas in two adults: analysis of cyst fluid and review of the literature. Am J Gastroenterol. 1998;93:1972–5.CrossRefPubMed
26.
Jacobsen BC, Baron TH, Adler DG, et al. ASGE guideline: the role of endoscopy in the diagnosis and the management of cystic lesions and inflammatory fluid collections of the pancreas. Gastrointest Endosc. 2005;61:363–70.CrossRef
27.
Goh BK, Tan YM, Chung YF. The utility of fusion CT-PET in the diagnosis of small pancreatic carcinoma with indeterminate findings on US, ERCP, MRI and EUS. World J Gastroenterol. 2005;11:3800–2.PubMed
28.
Sperti C, Pasquali C, Chierichetti F, et al. Value of 18-fluorodeoxyglucose positron emission tomography in the management of patients with cystic tumors of the pancreas. Ann Surg. 2001;234:675–80.CrossRefPubMed
29.
Moesinger RC, Talamini MA, Hruban RH, et al. Large cystic pancreatic neoplasms: pathology, respectability, and outcome. Ann Surg Oncol. 1999;6:682–91.CrossRefPubMed
30.
Talamini MA, Pitt HA, Hruban RH, et al. Spectrum of cystic tumors of the pancreas. Am J Surg. 1992;163:117–24.CrossRefPubMed
31.
Warshaw AL, Compton CC, Lewandrowski K, et al. Cystic tumors of the pancreas. New clinical, radiologic and pathologic observations in 67 patients. Ann Surg. 1990;212:432–45.CrossRefPubMed
32.
Compton CC. Serous cystic tumors of the pancreas. Semin Diagn Pathol. 2000;17:43–55.PubMed
33.
Goh BK, Tan YM, Kumarasinghe MP, Ooi LL. Synchronous serous cystadenoma and pancreatic endocrine tumor: a case report and literature review. Dig Dis Sci. 2006;51:422–6.CrossRefPubMed
34.
Goh BK, Loh HL, Soo KC. Synchronous pancreatic serous cystic tumor, intraductal papillary tumor and gastric carcinoma: report of a case. Pancreas. 2005;31:195–7.CrossRefPubMed
35.
Steinberg GD, Bales GT, Brendler CB. An analysis of watchful waiting for clinically localized prostate cancer. J Urology. 1998;159:1431–6.CrossRef
36.
Schwerk WB. Ultrasonically guided percutaneous puncture and analysis of aspirated material of cystic pancreatic lesions. Digestion. 1981;21:184–92.CrossRefPubMed
37.
Mou YP et al. Laparoscopic resection of true pancreatic cyst: report of 5 cases. Zhonghua Yi Xue Za Zhi. 2005;85(3):164–5. Chinese.PubMed
38.
Cioffi U, Simoni M, Santambrogio R, Fortis D, Ferrino S, Ciulla MM, et al. Laparoscopic enucleation of solitary true pancreatic cyst in an adult. J Gastrointestinal Surg. 2003;7(7):921–4.CrossRef
39.
Carboni F, Mancini P, Lorusso R, Santoro E. Solitary true cyst of the pancreas in adults. A report of two cases JOP. J Pancreas (Online). 2009;10(4):429–31.
40.
Heindryckx E, Van Steenbergen W, Van Hoe L, Vanbeckevoort D, Ectors N, Baert AL. Solitary true cyst of the pancreas. Eur Radiol. 1998;8(9):1627–9.
41.
Fiamingo P, Veroux M, Gringeri E, Mencarelli R, Veroux P, Madia C, D'Amico DF. True solitary pancreatic cyst in an adult: report of a case. Surg Today. 2005;35(11):979–83.
42.
Goh BK, Tan YM, Cheow PC, Chung AY, Chow PK, Wong WK, Ooi LL. Solid pseudopapillary neoplasms of the pancreas: an updated experience. J Surg Oncol. 2007;95(8):640–4.
Metadaten
Titel
Solitary True Cyst of Pancreas: Report of a Case and Review of Literature
verfasst von
Mohammad Atif Khan
G. R. Verma
Publikationsdatum
01.06.2010
Verlag
Springer US
Erschienen in
Journal of Gastrointestinal Cancer / Ausgabe 2/2010
Print ISSN: 1941-6628
Elektronische ISSN: 1941-6636
DOI
https://doi.org/10.1007/s12029-010-9139-y

Weitere Artikel der Ausgabe 2/2010

Journal of Gastrointestinal Cancer 2/2010 Zur Ausgabe

ORIGINAL RESEARCH

OGG1 Ser326Cys Polymorphism and Susceptibility to Esophageal Cancer in Low and High At-Risk Populations of Northern India

ORIGINAL RESEARCH

The Baseline Ratio of Neutrophils to Lymphocytes is Associated with Patient Prognosis in Rectal Carcinoma

ORIGINAL RESEARCH

Gastric Carcinoma—A Big Challenge in a Poor Economy

LETTER TO THE EDITOR

Sequential Therapy of Transarterial Chemoembolisation and Sorafenib in Intermediate Stage Hepatocellular Carcinoma

ORIGINAL RESEARCH

Consumption of Food Groups and the Risk of Pancreatic Cancer: A Case–Control Study

BRIEF COMMUNICATION

Adenocarcinoma of Aberrant Pancreas in the Jejunum: Report of a Case

Neu im Fachgebiet Onkologie

Umsetzung der POMGAT-Leitlinie läuft

03.05.2024 DCK 2024 Kongressbericht

Seit November 2023 gibt es evidenzbasierte Empfehlungen zum perioperativen Management bei gastrointestinalen Tumoren (POMGAT) auf S3-Niveau. Vieles wird schon entsprechend der Empfehlungen durchgeführt. Wo es im Alltag noch hapert, zeigt eine Umfrage in einem Klinikverbund.

CUP-Syndrom: Künstliche Intelligenz kann Primärtumor finden

30.04.2024 Künstliche Intelligenz Nachrichten

Krebserkrankungen unbekannten Ursprungs (CUP) sind eine diagnostische Herausforderung. KI-Systeme können Pathologen dabei unterstützen, zytologische Bilder zu interpretieren, um den Primärtumor zu lokalisieren.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Adjuvante Immuntherapie verlängert Leben bei RCC

25.04.2024 Nierenkarzinom Nachrichten

Nun gibt es auch Resultate zum Gesamtüberleben: Eine adjuvante Pembrolizumab-Therapie konnte in einer Phase-3-Studie das Leben von Menschen mit Nierenzellkarzinom deutlich verlängern. Die Sterberate war im Vergleich zu Placebo um 38% geringer.

Update Onkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen
Bildnachweise