Large pancreatic serous cystadenoma presenting with biliary obstruction - 22/08/11
Doi : 10.1016/j.gie.2007.08.050
| Commentary Cystic neoplasms of the pancreas are being diagnosed increasingly frequently because of the widespread use of varied imaging techniques. Serous cystadenomas (SCAs) currently account for about a third of pancreatic neoplasms and typically are benign, slow-growing tumors that are seen in women in their sixth to seventh decade of life. It has been shown that large SCAs (>4 cm) are more likely to present with symptoms than are small SCAs (<4 cm) (72% and 22%, respectively) and also to grow more rapidly (1.98 cm/year) than the small tumors (0.12 cm/year). Biliary obstruction, however, is an unusual occurrence, regardless of size. Surgical resection is the standard of care for patients who are symptomatic from serous cystadenomas; however, less invasive techniques (eg, cyst fenestration/drainage and EUS-guided ethanol fenestration) are being placed into perspective, even at the time of this writing. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2007
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 66 - N° 6
P. 1229-1230 - décembre 2007 Retour au numéro
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