The faith of non-surveilled pancreatic cysts: a bicentric retrospective study.
Eur J Surg Oncol
; 48(1): 89-94, 2022 Jan.
Article
em En
| MEDLINE
| ID: mdl-34148825
ABSTRACT
BACKGROUND:
Incidental discovery of pancreatic cystic neoplasms (PCLs) is a common and steadily increasing occurrence. The aim of this study was to investigate a cohort of patients presenting with incidentally detected PCLs which were not included in a surveillance protocol, and to compare their risk of malignant evolution with that of systematically surveilled lesions. MATERIALS ANDMETHODS:
A population of PCLs which did not receive surveillance over a period >10 years (population A) was selected at the Medical University of Vienna. A group of "low risk" branch duct intraductal papillary mucinous neoplasm ≤15 mm in size upon diagnosis undergoing a regular follow-up of at least 5 years at the University of Verona was selected as control (population B). The incidence of pancreatic cancer (PC), cumulative risk of PC and disease-specific survival were compared.RESULTS:
Overall, 376 patients with non-surveilled PCLs were included in study group A and compared to 299 patients in group B. This comparison resulted in similar incidence rates of PC (1.6% vs 1.7%, p = 0.938), a strong similarity in terms of disease-specific mortality rates (1.3% vs 0.3%, p = 0.171) and the 5- and 10-year cumulative risk of PC (â 1% and 2%, p = 0.589) and DSS (â 100% and 98%, p = 0.050).CONCLUSION:
The "price to pay" for a negligence-based policy in the population of non-surveilled PCLs was reasonable, and the incidence of PC was comparable to that reported for a population of low-risk cysts enrolled to a standardized surveillance protocol.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Cisto Pancreático
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Neoplasias Pancreáticas
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Adenoma
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Carcinoma Ductal Pancreático
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Neoplasias Intraductais Pancreáticas
Tipo de estudo:
Diagnostic_studies
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Guideline
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Incidence_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Eur J Surg Oncol
Assunto da revista:
NEOPLASIAS
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Itália