Outcomes of cystic lesions in the pancreas after extended follow-up

Sang Hyub Lee, Cheol Min Shin, Joo Kyung Park, Sang Myung Woo, Ji Won Yoo, Ji Kon Ryu, Yong Bum Yoon, Yong Tae Kim

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

Incidental pancreatic cysts are frequently detected, but no appropriate management guidelines have been issued for their management because their natural history is relatively unknown. The aim of this study was to investigate their long-term clinical outcomes. Pancreatic cysts detected from 1998 to 2004 were retrospectively reviewed in patients followed up for more than 3 months. A total of 182 patients with incidental pancreatic cysts (initial mean size, 1.8±1.1 cm) underwent follow-up for an average of 35.4 months. An age ≥60 years was found to be associated with an increase in cyst size, with an odds ratio of 2.56. Two malignant cysts were found among 20 patients who underwent surgical resection during follow-up. Old age was also associated with the presence of a premalignant or malignant cyst (P<0.01). Although the majority of incidental pancreatic cysts show an indolent behavior, long-term, regular follow-up studies should be considered for all pancreatic cysts, especially in the elderly.

Original languageEnglish
Pages (from-to)2653-2659
Number of pages7
JournalDigestive Diseases and Sciences
Volume52
Issue number10
DOIs
StatePublished - 1 Oct 2007

Keywords

  • Cyst
  • Natural history
  • Pancreas

Cite this