Pancreatic cystic tumors: literature review and early surgical outcomes at a certain center
https://doi.org/10.16931/1995-5464.2025-3-31-38
Abstract
Aim. To analyze the outcomes of patients with pancreatic cystic tumors managed at a high-volume hepato-pancreatobiliary (HPB) surgery center.
Materials and Methods. Between 2014 and 2025, a total of 386 pancreatic resections were performed, with 82 (21.24%) for pancreatic cystic tumors. The mean patient age was 51 ± 10.7 years, and 63.4% of the patients were female.
Results. Of the patients who underwent surgical operations, 10 (12.1%) had branch-duct intraductal papillary mucinous neoplasms (IPMNs), and 13 (15.88%) had main-duct IPMNs. Additionally, 25 patients (30.53%) were treated for mucinous cystic neoplasms, 1 (1.21%) for a cystic neuroendocrine tumor, 21 (25.63%) for solid pseudopapillary neoplasms, and 12 (14.63%) for serous cystadenomas. A retrospective pathohistological analysis of 121 cases of pancreatic head cancer following pancreatoduodenectomy revealed that 31 patients (25.61%) had developed adenocarcinoma associated with mucinous ductal neoplasms of various types.
Conclusion. Pancreatic cystic tumors exhibit variable biological behaviors, necessitating differential diagnosis and management.
About the Authors
O. O. Rummo
State Institution “Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology”
Belarus
Belarus
Oleg O. Rummo – Doct. of Sci. (Med.), Professor, Academician of the National Academy of Sciences of Belarus, Director
8, Semashko str., Minsk, 220087
T. M. Chernyshov
State Institution “Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology”
Belarus
Belarus
Taras M. Chernyshov – Surgeon, Portal Hypertension Department
8, Semashko str., Minsk, 220087
A. E. Shcherba
State Institution “Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology”
Belarus
Belarus
Alexey E. Shcherba – Doct. of Sci. (Med.), Professor, Deputy Director for Surgical Work
8, Semashko str., Minsk, 220087
S. V. Korotkov
State Institution “Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology”
Belarus
Belarus
Sergey V. Korotkov – Cand. of Sci. (Med.), Associate Professor, Head of the Department of Transplantology (Liver Transplantation and Hepatobiliary Surgery)
8, Semashko str., Minsk, 220087
L. V. Kirkovsky
State Institution “Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology”
Belarus
Belarus
Leonid V. Kirkovsky – Cand. of Sci. (Med.), Associate Professor, Head of the Portal Hypertension Department (Surgical)
8, Semashko str., Minsk, 220087
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For citations:
Rummo O.O., Chernyshov T.M., Shcherba A.E., Korotkov S.V., Kirkovsky L.V. Pancreatic cystic tumors: literature review and early surgical outcomes at a certain center. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2025;30(3):31-38. (In Russ.) https://doi.org/10.16931/1995-5464.2025-3-31-38
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