Serous cystadenoma of pancreas:a report of 18 cases

/Wang Yanliang

(王艷良，Dept Pancreat Surg Affil Hosp Chin Med Univ Shenyang 110001)…∥Chin J Gen Surg.-2011，26(8).-635 ～637

ObjectiveTo investigate the diagnosis and treatment of serous cystadenoma of pancreas.MethodsThe clinical data of 18 patients with serous cystadenoma of pancreas which were admitted into the First Affiliated Hospital of China Medical University from October 1999 to October 2010 were retrospectively analyzed.ResultsThere were 15 females(83.3%)and 3 males(16.7%).Tumors were present in the pancreatic body and tail in 12 cases(66.7%)，in the pancreatic head in 3 cases(16.7%)and in the pancreatic neck in 3 cases(16.7%).The mean maximum diameter of the tumor was 6.5 cm.No specific clinical features were indentified.The size of the tumor was significantly correlated with clinical symptoms.CT was main examination with correct diagnosing rate of 61.1%.All 18 patients received surgical resection.Pancreaticoduodenectomy was performed in 3 patients，distal pancreatectomy in 5 cases，spleen-preserving distal pancreatectomy in 5 cases，middle pancreatectomy in 3 cases，and tumor enucleation in 2 cases.Postoperative pancreatic fistula developed in 10 cases(55.6%);Fistula was healed by conservative therapy in all these 10 cases.Postoperative followed up from 6 to 125 months(mean，48.3months)found no recurrence or metastasis.ConclusionCT was main imaging examination for serous cystadenoma of pancreas.Surgical resection should be adopted for serous cystadenoma of pancreas with clinical symptoms but uncertain malignancy.9 refs，3 figs