Management and Outcome of 64 Patients with Pancreatic Serous Cystic Neoplasms

Gomatos, Ilias P, Halloran, Christopher ORCID: 0000-0002-5471-4178, Ghaneh, Paula, Raraty, Michael, Polydoros, Fotis ORCID: 0000-0001-5181-6817, Campbell, Fiona, Evans, Jonathan, Sutton, Robert ORCID: 0000-0001-6600-562X, Garry, Jo, Whelan, Philip
et al (show 1 more authors) (2016) Management and Outcome of 64 Patients with Pancreatic Serous Cystic Neoplasms. DIGESTIVE SURGERY, 33 (3). 203 - 212.

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Background: The optimal management approach to pancreatic serous cystic neoplasms (SCNs) is still evolving. Methods: Consecutive patients with SCN managed at the Liverpool Pancreas Cancer Centre between 2000 and 2013 were retrospectively reviewed. Results: There were 64 patients consisting of 39 women (60.9%) and 25 men (39.1%). Forty-seven patients (73.4%) had surgical removal and 17 (26.6%) were observed. The possibility of a non-SCN malignancy was the predominant indication for resection in 27 (57.4%) patients. Postoperative morbidity occurred in 26 (55.3%) patients with 2 (4.3%) deaths. An increased risk of resection was associated with patient's age (p = 0.011), diagnosis before 2009 (p < 0.001), pain (p = 0.043), possibility of cancer (p = 0.009) and a solid SCN component on imaging (p = 0.002). Independent factors associated with resection were a diagnosis before 2009 (p = 0.005) and a solid SCN component (p < 0.001). Independent factors associated with shorter time to surgical resection were persistent pain (p = 0.003) and a solid SCN component (p = 0.007). Conclusion: There was a reduction in the proportion of resections with the application of an observe-only policy for asymptomatic patients with more definite features of SCN. Improved criteria are still required in the remainder of patients with uncertain features of SCN in deciding for intervention or surveillance.

Item Type: Article
Uncontrolled Keywords: Pancreatic serous cystadenomas, Serous cystic neoplasms, Surgery
Depositing User: Symplectic Admin
Date Deposited: 01 Jul 2016 13:37
Last Modified: 19 Jan 2022 08:10
DOI: 10.1159/000442094
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