Detailed Abstract
[E-poster - Biliary & Pancreas (Pancreas Disease/Surgery)]
[EP 188] Clinical Characteristics of Patients with Pancreatic Cystic Neoplasms Presenting to a Tertiary Care Centre in Sri Lanka
MALITH NANDASENA 1, KASUN LAKMAL 2, BHANU WIJETHILAKE 2, HASANGI GAMAGE 2, MINIDU CHANDRAGUPTA 2, S KALAIYUKAN 2, THISURI FERNANDO 2, ALOKA PATHIRANA 1
1 Department of Surgery , Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, SRI LANKA, 2 University Surgical Unit, University Surgical Unit, Colombo South Teaching Hospital, SRI LANKA
Background : Pancreatic cystic neoplasms (PCN) are usually diagnosed incidentally. These neoplasms display a spectrum of behaviour. Neoplasms with benign characteristics need only follow up however, malignancies should not be misdiagnosed. The objective of this study was to describe the clinical characteristics of patients presenting with PCN.
Methods : A retrospective study was conducted at a tertiary care centre including all newly diagnosed patients presenting with PCN based on radiological (n=37) criteria for a period of 2 years. A descriptive analysis was performed with respect to clinical and treatment characteristics which were collected through a custom-made database.
Results : The majority were females (n=26, 70.3%). The mean age at presentation was 50 (range: 16-79) years. Diabetes was the commonest comorbidity (n=12, 32.4%) followed by hypertension (n=9, 24.3%). The majority of the neoplasms were found in the pancreatic head (n=16,43.2%) followed by body (n=10,27%) tail (n=8,21.6) neck (n=2,5.4%).Of the pancreatic neoplasms, solid pseudopapillary neoplasms(SPN) was the commonest (n=11, 29.7%), the least common was mucinous cystic neoplasms (n=7, 18.1%) and the rest were Intraductal papillary mucinous neoplasm (n=10, 27%) and serous cystic neoplasms (n=9, 24.3%). Most (n=23, 62.2%) underwent surgical management. Post-operatively complications include a pancreatic leak which settled spontaneously and bile leak in a patient who underwent simultaneous liver resection which was managed with ERCP and stenting. Follow up reported one local recurrence.
Conclusions : In this Sri Lankan cohort, pancreatic cystic neoplasms had a female preponderance. Majority were in the pancreatic head. The commonest neoplasm being SPN. The majority underwent successful surgical treatment.
Methods : A retrospective study was conducted at a tertiary care centre including all newly diagnosed patients presenting with PCN based on radiological (n=37) criteria for a period of 2 years. A descriptive analysis was performed with respect to clinical and treatment characteristics which were collected through a custom-made database.
Results : The majority were females (n=26, 70.3%). The mean age at presentation was 50 (range: 16-79) years. Diabetes was the commonest comorbidity (n=12, 32.4%) followed by hypertension (n=9, 24.3%). The majority of the neoplasms were found in the pancreatic head (n=16,43.2%) followed by body (n=10,27%) tail (n=8,21.6) neck (n=2,5.4%).Of the pancreatic neoplasms, solid pseudopapillary neoplasms(SPN) was the commonest (n=11, 29.7%), the least common was mucinous cystic neoplasms (n=7, 18.1%) and the rest were Intraductal papillary mucinous neoplasm (n=10, 27%) and serous cystic neoplasms (n=9, 24.3%). Most (n=23, 62.2%) underwent surgical management. Post-operatively complications include a pancreatic leak which settled spontaneously and bile leak in a patient who underwent simultaneous liver resection which was managed with ERCP and stenting. Follow up reported one local recurrence.
Conclusions : In this Sri Lankan cohort, pancreatic cystic neoplasms had a female preponderance. Majority were in the pancreatic head. The commonest neoplasm being SPN. The majority underwent successful surgical treatment.
SESSION
E-poster
E-Session 03/21 ALL DAY