Pancreatic cystic tumour: A local regional hospital experience

Abstract

Aim of study: To review the management of patients with pancreatic cystic tumour.Method: Retrospective review of patients with pancreatic cystic tumours who has either cytological or histological diagnosis made from 1994 to 2003Results: There were total 16 patients who had the diagnosis of pancreatic cystic tumour. The male/female ratio was 1 : 4.5 (5/11). Median of age was 51 (2–76).There were 6 (37%) serous cystadenoma, 4 (25%) mucinous cystic tumour, 3 (19%) intraductal papillary mucinous tumour and 3 (19%) solid and cystic papillary tumour. All tumours were located in the head or tail of pancreas. Median size of the tumour was 6 cm (1–15 cm). Majority of patients presented incidentally or with abdominal pain. All patients had CT scan done (except one who had only USG), and imaging was either inconclusive or incorrect in 80% of the patients. Fine needle aspiration (FNA) was performed only in seven (40%) patients. FNA result was inconclusive in six (85%) patients. A total 13 resections were performed which included seven distal pancreatectomy, four pancreaticoduodenectomy and two total pancreatectomy. There were two (15%) patient complicated with postoperative intra‐abdominal abscess and postoperative bleeding and one (7%) patient die with postoperative multiorgan failure. The median FU period was 24 months, and there were no tumour recurrence noted.Conclusion: In this review, nature of the lesions was difficult to establish in majority of the cases preoperatively. Surgical resection seems to be a safe and viable option for the management of pancreatic cystic tumour.