S-Space College of Medicine/School of Medicine (의과대학/대학원) Internal Medicine (내과학전공) Journal Papers (저널논문_내과학전공)
Outcomes of cystic lesions in the pancreas after extended follow-up
- Lee, Sang Hyub; Shin, Cheol Min; Park, Joo Kyung; Woo, Sang Myung; Yoo, Ji Won; Ryu, Ji Kon; Yoon, Yong Bum; Kim, Yong-Tae
- Issue Date
- Springer Verlag
- Dig Dis Sci. 2007 Oct;52(10):2653-9. Epub 2007 Apr 3.
- Adolescent; Adult; Aged; Aged, 80 and over; Diagnosis, Differential; Female; Follow-Up Studies; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Odds Ratio; Pancreatectomy/*methods; Pancreatic Cyst/*diagnosis/surgery; Prognosis; Retrospective Studies; Time Factors; Tomography, X-Ray Computed
- 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.
- 0163-2116 (Print)
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