Abstract
Background: Mucinous Cystic Neoplasms (MCN) of the pancreas are defined by the presence of ovarian stroma, harbor significant malignant potential and are often treated with surgical resection. The 2018 European consensus guidelines on pancreatic cystic neoplasms suggested a potential role for observation of MCNs which are less than 4cm and have no “high risk features”. This study set out to explore the role of surgery and/or chemotherapy in clinically node negative MCN ≤4cm (T1-2) and the potential for occult lymph node involvement in these small tumors.
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