What is the reasonable option for elderly patients with incidental pancreatic cystic neoplasms? Follow-up observation versus surgical resection

2016 ◽  
Vol 17 (2) ◽  
pp. 256-261
Author(s):  
Hyo Jung Kim ◽  
Jae Seon Kim ◽  
Jae Min Lee ◽  
Moon Kyung Joo ◽  
Beom Jae Lee ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Surgical Resection ◽  
Cystic Neoplasms ◽  
Pancreatic Cystic Neoplasms

The clinical outcome of incidental pancreatic cystic neoplasms in patients over 65 years old: Follow up or surgical resection?

Pancreatology ◽  
2013 ◽  
Vol 13 (4) ◽  
pp. S56-S57
Author(s):  
Hyo Jung Kim ◽  
Sung Ho Kim ◽  
Yong Jeoung ◽  
Jae Min Lee ◽  
Jungwan Choe ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Surgical Resection ◽  
Cystic Neoplasms ◽  
Pancreatic Cystic Neoplasms

Risk factors for malignancy and long term follow-up after resected pancreatic cystic neoplasms in Finland

Pancreatology ◽  
2018 ◽  
Vol 18 (4) ◽  
pp. S53-S54
Author(s):  
Yrjö Vaalavuo ◽  
Anne Antila ◽  
Reea Ahola ◽  
Antti Siiki ◽  
Martine Vornanen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cystic Neoplasms ◽  
Long Term Follow Up ◽  
Pancreatic Cystic Neoplasms

Prognosis of pancreatic cystic neoplasms in elderly patients: Could be followed up without resection?

Pancreatology ◽  
2014 ◽  
Vol 14 (3) ◽  
pp. S29
Author(s):  
Jae Seon Kim ◽  
Hyo Jung Kim ◽  
Beom Jae Lee ◽  
Jong-Jae Park ◽  
Hong Sik Lee ◽  
...  
Keyword(s):  
Elderly Patients ◽  
Cystic Neoplasms ◽  
Pancreatic Cystic Neoplasms

Long-term follow-up of patients with incidentally discovered pancreatic cystic neoplasms evaluated by endoscopic ultrasound

Surgery ◽  
2010 ◽  
Vol 147 (1) ◽  
pp. 13-20 ◽  
Author(s):  
Nonthalee Pausawasdi ◽  
David Heidt ◽  
Richard Kwon ◽  
Diane Simeone ◽  
James Scheiman
Keyword(s):  
Endoscopic Ultrasound ◽  
Cystic Neoplasms ◽  
Long Term Follow Up ◽  
Pancreatic Cystic Neoplasms

scholarly journals Morphological differentiation and follow-up of pancreatic cystic neoplasms using endoscopic ultrasound

2015 ◽  
Vol 4 (4) ◽  
pp. 312 ◽  
Author(s):  
Susumu Hijioka ◽  
Kazuo Hara ◽  
Nobumasa Mizuno ◽  
Hiroshi Imaoka ◽  
Vikram Bhatia ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Morphological Differentiation ◽  
Cystic Neoplasms ◽  
Pancreatic Cystic Neoplasms

scholarly journals Lymphoepithelial Cysts of the Pancreas: The Use of Endoscopic Ultrasound-Guided Fine-Needle Aspiration in Diagnosis

2010 ◽  
Vol 24 (6) ◽  
pp. 348-350 ◽  
Author(s):  
Zamil Karim ◽  
Blair Walker ◽  
Eric C Lam
Keyword(s):  
Surgical Resection ◽  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Lower Abdominal Pain ◽  
Needle Aspiration ◽  
Ultrasound Guided ◽  
Cystic Neoplasms ◽  
Fine Needle ◽  
Lymphoepithelial Cysts

Lymphoepithelial cysts (LECs) are rare non-neoplastic lesions that can appear as a complex cyst or a mass in the pancreas. Cytology from endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) can be helpful in making a diagnosis with the aim of avoiding unnecessary surgical resection. A case involving a 51-year-old woman with lower abdominal pain who was found to have a multiloculated cystic lesion at the junction of the pancreatic body and tail is described. Cytology from EUS-FNA was consistent with a pancreatic LEC. The lesion was managed conservatively and follow-up imaging of the cyst over the following two years was unchanged. The patient remains clinically well. Cytology from EUS-FNA can help distinguish LECs from cystic neoplasms, thus preventing radical surgical resection of this benign pancreatic cyst.

scholarly journals A277 DISCREPANCIES IN EUS-FNA CYTOPATHOLOGY AND SURGICAL SPECIMEN PATHOLOGY FOR HIGH RISK PANCREATIC MUCINOUS CYSTIC LESIONS: A CASE SERIES

2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 155-156
Author(s):  
S Li ◽  
M Monachese ◽  
P James
Keyword(s):  
High Risk ◽  
Surgical Resection ◽  
Case Series ◽  
Surgical Pathology ◽  
Low Grade ◽  
Cystic Lesions ◽  
Cystic Neoplasms ◽  
Cross Sectional ◽  
Surgical Specimen

Abstract Background Endoscopic ultrasound guided fine needle aspiration (EUS-FNA) is the primary method of sampling pancreatic cystic lesions with reported specificity near 100% for diagnosing malignancy. Discrepant positive malignant cytopathology with final surgical pathology of pancreatic cystic lesions has not previously been described. Aims To present a case series and review the literature regarding the implications of positive malignant cytology with discrepant surgical pathology for high risk pancreatic mucinous cystic lesions. Methods Patient demographics, clinical history, procedure details, pathology evaluations and follow-up were collected. A thorough literature review was performed. Results Three patients with high-risk pancreatic cystic lesions on cross-sectional imaging underwent EUS-FNA evaluation. None of these patients had a history of pancreatitis. Cytology was reported as positive for adenocarcinoma in all patients by separate gastrointestinal cytopathologists. All patients underwent surgical resection. The pathology for all resected specimens were reported as intraductal papillary mucinous neoplasm. The resected cysts for two patients demonstrated foci of high-grade dysplasia and the third noted low grade dysplasia. All surgical pathology underwent consensus review by three separate gastrointestinal pathologists. None of the patients were treated with adjuvant chemotherapy. All patients have been followed post-operatively with surveillance magnetic resonance imaging with no evidence of recurrence to date (median follow-up time 239 days, range 133 – 447 days). Conclusions This phenomenon sheds light on the potential for variable interpretations of EUS-FNA cytopathology and surgical resection pathology for high risk pancreatic cystic neoplasms. EUS-FNA may identify foci of adenocarcinoma that is not seen on surgical pathology specimens. Further research is required to examine the long-term outcomes of these patients. Funding Agencies None

EUS-Guided Lauromacrogol Ablation for the Treatment of Pancreatic Cystic Neoplasms: Long-Term Follow-Up of at Least 12 Months

2018 ◽  
Vol 113 (Supplement) ◽  
pp. S48-S49
Author(s):  
Chen Du ◽  
Ningli Chai ◽  
Enqiang Linghu ◽  
Huikai Li ◽  
Yufa Sun ◽  
...  
Keyword(s):  
Cystic Neoplasms ◽  
Long Term Follow Up ◽  
Pancreatic Cystic Neoplasms
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