Clinical implications of mucinous nonneoplastic cysts of the pancreas

Satish N. Nadig, Ivan Pedrosa, Jeffrey D. Goldsmith, Mark P. Callery, Charles M. Vollmer

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

OBJECTIVES: An undercharacterized subclass of pancreatic mucinous cysts without histologic characteristics of neoplasia is emerging. This article aimed to highlight the clinical characteristics and implications of this new subset of pancreatic cystic lesions. METHODS: The clinical, radiologic, and pathologic features of all cysts that underwent operative resection at a tertiary referral pancreatic disease center from February 2005 to June 2009 were reviewed. Immunohistochemistry for mucinous peptide antigens was selectively performed. RESULTS: Of 104 operations, a pathologic examination revealed 52 intraductal papillary mucinous neoplasms, 9 mucinous cystadenomas, 17 serous cystadenomas, 9 pseudocysts, 5 solid pseudopapillary tumors, 2 carcinomas, 1 cystic pancreatic endocrine tumor, and 2 other cystic lesions. Seven mucinous cysts without neoplastic features were identified, representing 2% of all pancreatic resections, 6.7% of all resected cysts, and 10.3% of the 68 mucinous cysts. There was no evidence of cytologic atypia, papillary growth, or ovarian-type stroma in any of the cases. MUC1, MUC2, and MUC5AC were expressed in 83%, 0%, and 100%, respectively. There has been no recurrence with a mean follow-up of 44 months. CONCLUSIONS: This underappreciated entity belongs to the family of mucinous pancreatic cysts. However, unifying clinical characteristics that would prevent unnecessary resections in patients harboring these seemingly benign lesions are currently lacking.

Original languageEnglish (US)
Pages (from-to)441-446
Number of pages6
JournalPancreas
Volume41
Issue number3
DOIs
Publication statusPublished - Apr 2012

    Fingerprint

Keywords

  • dysplasia
  • intraductal papillary mucinous neoplasia
  • mucinous cystic neoplasm
  • pancreatic cyst

ASJC Scopus subject areas

  • Hepatology
  • Internal Medicine
  • Endocrinology
  • Endocrinology, Diabetes and Metabolism

Cite this

Nadig, S. N., Pedrosa, I., Goldsmith, J. D., Callery, M. P., & Vollmer, C. M. (2012). Clinical implications of mucinous nonneoplastic cysts of the pancreas. Pancreas, 41(3), 441-446. https://doi.org/10.1097/MPA.0b013e318229b9b8