Abstract
Cystadenocarcinomas are rare tumors of the pancreas. They are half as common as their benign counterpart--the cystadenoma. A review of 21 cases, including eight reported since 1963, revealed that most patients presented with upper abdominal pain and a large palpable upper abdominal mass. All patients had evidence of malignant degeneration occurring in a mucous cystadenoma. None had evidence of a serious cystadenoma. Grading revealed a predominance of low-grade tumors: 20 of the 21 lesions were grade 1 or 2. Cystadenocarcinomas were slightly more frequent in the head of the pancreas. Four patients had metastasis. Complete excision by distal or total pancreatectomy or Whipple pancreaticoduodenectomy is recommended. The five year survival after complete excision is 68%, and for patients with grade 1 lesions, and five year survival is 64%.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BECKER W. F., WELSH R. A., PRATT H. S. CYSTADENOMA AND CYSTADENOCARCINOMA OF THE PANCREAS. Ann Surg. 1965 Jun;161:845–863. doi: 10.1097/00000658-196506000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bilton J. L., Saddawi N. D., Saigal K. P., Ram M. D. Papillary cystadenocarcinoma of the pancreas. Ohio State Med J. 1974 Apr;70(4):236–239. [PubMed] [Google Scholar]
- CULLEN P. K., Jr, REMINE W. H., DAHLIN D. C. A CLINICOPATHOLOGICAL STUDY OF CYSTADENOCARCINOMA OF THE PANCREAS. Surg Gynecol Obstet. 1963 Aug;117:189–195. [PubMed] [Google Scholar]
- Grosfeld J. L., Clatworthy H. W., Jr, Hamoudi A. B. Pancreatic malignancy in children. Arch Surg. 1970 Sep;101(3):370–375. doi: 10.1001/archsurg.1970.01340270018005. [DOI] [PubMed] [Google Scholar]
- Johnson R. R. Cystadenocarcinoma of pancreas with staged pancreatoduodenectomy. N Y State J Med. 1974 May;74(5):865–868. [PubMed] [Google Scholar]
- Lefaucher C. Cystadénocarcinome pancréatique de siège céphalique rvélé par une sténose duodénale. A propos d'un cas traité par duodéno-pancréatectomie céphalique. Chirurgie. 1973 May 16;99(7):466–469. [PubMed] [Google Scholar]
- Rask M. P. Cystadenocarcinoma of the pancreas. Report of a case. Acta Chir Scand. 1972;138(7):735–737. [PubMed] [Google Scholar]
- Ribet M., Wurtz A., Mortier F., Houcke M. Cystadénomes et cystadénocarcinomes du pancréas. Chirurgie. 1972 Nov;98(12):736–743. [PubMed] [Google Scholar]
- SAWYER K. C., SPENCER J. R., LUBCHENCO A. E. Proliferative cysts of the pancreas. Ann Surg. 1952 Apr;135(4):549–554. doi: 10.1097/00000658-195204000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Warren K. W., Hardy K. J. Cystadenocarcinoma of the pancreas. Surg Gynecol Obstet. 1968 Oct;127(4):734–736. [PubMed] [Google Scholar]