Haroon Javaid Majid, Muhammad Shafi, Muhammad Arif Javed, Harun Majid Dar.
Cystic Neoplasm of the Pancreas or Pancreatic Pseudocyst - the Challenge Continues.
J Sharif Med Dent Coll Jan ;4(02):75-8.

Objective: To emphasize the necessity to differentiate between the pancreatic cystic neoplasms and pseudocysts so that serious errors in management are prevented. Methodology:: It was an observational study without randomization and was conducted at the Surgery Department of Sheikh Zayed Hospital, Lahore. The study was approved by the institutional research committee. It was a single unit study in which 11 patients with pancreatic cystic lesions who underwent surgical intervention over an 8 year time period were studied prospectively. Data analysis was done using SPSS version 23. Results: The final diagnosis in these patients was mucinous cystadenocarcinoma in 2 patients, serous cystadenoma in 8 patients and indeterminate in one patient. Procedures performed were pancreaticoduodenectomy in one patient, distal pancreatectomy in 9 patients and simple enucleation in one patient. One patient died on the 50 postoperative day due to acute portal vein thrombosis secondary to a severe acute postoperative pancreatitis. Four (36.4%) of our patients with cystic tumors had been previously misdiagnosed as pancreatic pseudocysts and had been intervened upon at other hospitals. Conclusion: We concluded that every effort should be made to distinguish between a pancreatic pseudocyst and a cystic tumor of the pancreas to avoid the serious mistake of draining rather than completely resecting a pancreatic cystic tumor which may have malignant potential or harbor a frank malignancy. Keywords: Pancreas. Pseudocysts. Cystic tumors.

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