| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1 Present address: Department of Radiology, University of Wisconsin Hospital and
Clinic, Madison, WI 53792.
2 Department of Radiology, Mayo Clinic, 200 First St. SW, Rochester, MN
55905.
OBJECTIVE. The purpose of our study was to determine the natural
history of small (
2 cm) simple pancreatic cystic lesions.
MATERIALS AND METHODS. A retrospective review was performed of
patients with long-term follow-up who were diagnosed with small ( 2 cm)
simple pancreatic cysts on sonography or CT from 1985 to 1996. Long-term
surveillance included radiographic surveillance of 5 years or longer, clinical
follow-up of 8 years or longer, or response to questionnaire or telephone
inquiry 8 year or longer after the original diagnosis. Cause of death was
recorded for patients who died within 5–8 years of diagnosis. Patients
were excluded if a history of pancreatitis or systemic cystic disease
existed.
RESULTS. Seventy-nine patients had small simple pancreatic cysts. Forty-nine (62%) had adequate radiologic, clinical, or questionnaire follow-up. Of the 22 patients with radiologic follow-up, 13 (59%) had cysts that remained unchanged or became smaller (mean size, 8 mm; mean follow-up, 9 years), and nine (41%) had cysts that enlarged, from a mean of 14 mm to a mean of 26 mm (mean follow-up, 8 years). Of the 27 patients with clinical or questionnaire follow-up (mean follow-up, 10 years), none developed symptomatic pancreatic disease. Eighteen patients (23%) died within 8 years without adequate radiologic follow-up, none of pancreas-related causes. Twelve patients (15%) were lost to follow-up.
CONCLUSION. Although small, incidental, simple pancreatic cysts of 2 cm or smaller may enlarge over a prolonged time, morbidity or mortality due to these small simple cysts is extremely unlikely, and observation appears to be a safe management option.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  N. I. Sainani, A. Saokar, V. Deshpande, C. F.-d. Castillo, P. Hahn, and D. V. Sahani Comparative Performance of MDCT and MRI With MR Cholangiopancreatography in Characterizing Small Pancreatic Cysts Am. J. Roentgenol., September 1, 2009; 193(3): 722 - 731. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Macari, T. Lee, S. Kim, S. Jacobs, A. J. Megibow, C. Hajdu, and J. Babb Is Gadolinium Necessary for MRI Follow-Up Evaluation of Cystic Lesions in the Pancreas? Preliminary Results Am. J. Roentgenol., January 1, 2009; 192(1): 159 - 164. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. J. Kim, D. H. Lee, Y. T. Ko, J. W. Lim, H. C. Kim, and K. W. Kim CT of Serous Cystadenoma of the Pancreas and Mimicking Masses Am. J. Roentgenol., February 1, 2008; 190(2): 406 - 412. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. D'Onofrio, A. J. Megibow, N. Faccioli, R. Malago, P. Capelli, M. Falconi, and R. P. Mucelli Comparison of Contrast-Enhanced Sonography and MRI in Displaying Anatomic Features of Cystic Pancreatic Masses Am. J. Roentgenol., December 1, 2007; 189(6): 1435 - 1442. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. C. Visser, B. M. Yeh, A. Qayyum, L. W. Way, C. E. McCulloch, and F. V. Coakley Characterization of Cystic Pancreatic Masses: Relative Accuracy of CT and MRI Am. J. Roentgenol., September 1, 2007; 189(3): 648 - 656. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. S. Katz, D. M. Friedel, D. Kho, N. Georgiou, and J. J. Hines Relative Accuracy of CT and MRI for Characterization of Cystic Pancreatic Masses Am. J. Roentgenol., September 1, 2007; 189(3): 657 - 661. [Full Text] [PDF]
|
|
|
|
 |
|
 B. K. P. Goh, D. V. Sahani, A. Saokar, and C. F.-d. Castillo Pancreatic Cysts 3 cm or Smaller Radiology, May 1, 2007; 243(2): 607 - 608. [Full Text] [PDF]
|
|
|
|
 |
|
 J. R. Infante, H. Matsubayashi, N. Sato, J. Tonascia, A. P. Klein, T. A. Riall, C. Yeo, C. Iacobuzio-Donahue, and M. Goggins Peritumoral Fibroblast SPARC Expression and Patient Outcome With Resectable Pancreatic Adenocarcinoma J. Clin. Oncol., January 20, 2007; 25(3): 319 - 325. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. V. Sahani, R. Kadavigere, A. Saokar, C. Fernandez-del Castillo, W. R. Brugge, and P. F. Hahn Cystic Pancreatic Lesions: A Simple Imaging-based Classification System for Guiding Management RadioGraphics, November 1, 2005; 25(6): 1471 - 1484. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P Manoharan and M B Sheridan Neoplasms of the pancreas Imaging, September 1, 2004; 16(4): 323 - 337. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
