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Rare Nonneoplastic Cysts of Pancreas
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Type
Academic journal
Author
Journal
The Korean Society Of Gastrointestinal Endoscopy Clinical Endoscopy Clinical Endoscopy 제48권 제1호 KCI Accredited Journals SCOPUS
Published
2015.1
Pages
31 - 38 (8page)

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Rare Nonneoplastic Cysts of Pancreas
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Pancreatic cysts represent a small proportion of pancreatic diseases, but their incidence has been recently increasing. Most pancreatic cysts are identified incidentally, causing a dilemma for both clinicians and patients. In contrast to ductal adenocarcinoma, neoplastic pancreatic cysts may be cured by resection. In general, pancreatic cysts are classified as neoplastic or non-neoplastic cysts. The predominant types of neoplastic cysts include intraductal papillary mucinous neoplasms, mucinous cystic neoplasms, serous cystic neoplasms, and solid pseudopapillary neoplasms. With the exception of serous type, neoplastic cysts, have malignant potential, and in most cases requires resection. . Non-neoplastic cysts include pseudocyst, retention cyst, benign epithelial cysts, lymphoepithelial cysts, squamous lined cysts (dermoid cyst and epidermal cyst in intrapancreatic accessory spleen), mucinous nonneoplastic cysts, and lymphangiomas. The incidence of nonneoplastic, noninflammatory cysts is about 6.3% of all pancreatic cysts. Despite the use of high-resolution imaging technologies and cytologic tissue acquisition with endosonography, distinguishing nonneoplastic from neoplastic cysts remains difficult with most differentiations made postoperatively. Nonetheless, the definitive distinction between non-neoplastic and neoplastic cysts is crucial as unnecessary surgery could be avoided with proper diagnosis. Therefore, consideration of these rare disease entities should be entertained before deciding on surgery.
#Pancreatic cyst #Neoplastic cyst #Nonneoplastic cyst

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References (26)

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Adsay NV / 2000 / Squamous-lined cysts of the pancreas: lymphoepithelial cysts, dermoid cysts (teratomas), and accessory-splenic epidermoid cysts / Semin Diagn Pathol 17 : 5 google schola Assifi MM / 2014 / Non-neoplastic epithelial cysts of the pancreas: a rare, benign entity / J Gastrointest Surg 18 : 523 ~ 531 google schola Ferrone CR / 2009 / Current trends in pancreatic cystic neoplasms / Arch Surg 144 : 448 ~ 454 google schola Foo WC / 2014 / Squamoid cystosis of pancreatic ducts: a variant of a newly-described cystic lesion, with evidence for an obstructive etiology / Rare Tumors 6 : 5286 ~ google schola Goh BK / 2005 / Mucinous nonneoplastic cyst of the pancreas: a truly novel pathological entity? / World J Gastroenterol 11 : 2045 ~ 2047 google schola

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