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C. M. Schmidt, P. B. White, J. A. Waters, C. T. Yiannoutsos, O. W. Cummings, M Baker, T. J. Howard, N. J. Zyromski, A. Nakeeb, J. M. DeWitt, F. M. Akisik, S. Sherman, H. A. Pitt and K. D. Lillemoe, “Intraductal Papillary Mucinous Neoplasms: Predictors of Malignant and Invasive Pathology,” Annals of Surgery, Vol. 246, No. 4, 2007, pp. 644-651. doi:10.1097/SLA.0b013e318155a9e5

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• TITLE: Cystic Tumours of the Pancreas – a Rare and Diverse Type of Tumours

  AUTHORS: Dag Hoem, Asgaut Viste

  KEYWORDS: Cystic Pancreatic Tumours; Incidentalomas; Clinical Features; Complications; Prognostic Factors;Survival

  JOURNAL NAME: Journal of Cancer Therapy, Vol.3 No.4, August 9, 2012

  ABSTRACT: Objective: Increasing incidence of non-inflammatory cystic lesions of the pancreas challenges work-up algorithms, surgery and surveillance. We have reviewed our experience with these tumours in accordance with International Consensus Guidelines and evaluated the outcome. Patients and Methods: From 1999 to 2009, 34 cases referred to Haukeland University Hospital were operated upon; ten were serous (SCN), twenty-one IPMNs, one MCN, and two solid pseudopapillary neoplasms (SPPN). A thorough medical history was supplemented by CT, MRI, and US before each case were discussed in a MDT to decide on the best subsequent care. Results: All SCN and SPPN patients had benign histopathology, and no deaths were reported. Survival for malignant IPMN was, 2 years: 75%, and 5 years: 67%, where after no deaths were registered in the observation period. Presence of jaundice had the highest impact on survival (p = 0.0009), followed by weight loss (p = 0.005) and dilatation of the common bile duct (p = 0.04). In the IPMN group two had pancreatic juice leakage, and reoperation was performed in one. Conclusions: All SCN turned out benign which justify a high threshold for resection unless unacceptable symptoms dominate. For branch duct IPMNs resections of asymptomatic and smaller lesions (