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Pancreatic CystadenomaA Clinicopathologic Study of 45 Cases
Darryl J. Hodgkinson, MD;
William H. ReMine, MD;
Louis H. Weiland, MD
Arch Surg. 1978;113(4):512-519.
Abstract
Forty-five patients with pancreatic cystadenoma were treated surgically at the Mayo Clinic between 1939 and 1975. Each lesion was classified as mucous or serous. The most frequent lesion site was the tail of the pancreas. The typical patient was a middle-aged woman with upper abdominal pain and a palpable mass on initial examination. Total extirpation of the cystadenoma was the treatment of choice; internal drainage or external drainage of these cysts should not be done. Occasionally, the nearness of the tumors to the mesenteric vessels precluded excision. The mucous type has malignant potential whereas the serous does not. None of the cystadenomas subsequently underwent malignant degeneration. Because of the slow-growing characteristics of the tumor, undue operative risks should not be taken.
(Arch Surg 113:512-519, 1978)
Author Affiliations
From the Mayo Clinic and Mayo Foundation, Rochester, Minn.
Footnotes
Accepted for publication Dec 28, 1977.
Read before the 85th annual meeting of the Western Surgical Association, Las Vegas, Nov 16, 1977.
Reprint requests to Section of Publications, Mayo Clinic, 200 First St SW, Rochester, MN 55901 (Dr Hodgkinson).
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