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PANCREATIC CYSTS

PANCREATIC CYSTS Abstract THE PURPOSE of this paper is to present a study of 12 cases of pancreatic cyst, an uncommon disease frequently difficult or impossible to diagnose during the early stages of its development. Accepted classifications, in general, divide these growths into two main groups: the true cyst, containing pancreatic ferments, and the false or pseudocyst, which has no epithelial lining and usually is located in the lesser peritoneal cavity. This report concerns only cysts of the retention and pseudo types. Symptoms from which a diagnosis can be made are usually absent during the beginning weeks or even months of the disease, and not until the cyst has attained sufficient size to create pressure on the gastrointestinal, biliary, or urinary tracts do suspicious symptoms appear. Epigastric pain radiating to the back or left side was present in 85% of our cases, and a firm smooth round tumor eventually became manifest in the References 1. Poppel, M. H., and Marshak, R. H.: Roentgen Diagnosis of Pancreatic Disease , Am. J. Roentgenol. 52:307-316 ( (Sept.) ) 1944. 2. Haukohl, R. S., and Melamed, A.: Cystadenoma of the Pancreas , Am. J. Roentgenol. 63:234-245 ( (Feb.) ) 1950. 3. Case, J. T.: Roentgenology of Pancreatic Disease , Am. J. Roentgenol. 44:485-518 ( (Oct.) ) 1940. 4. Brunschwig, A.: Surgery of Pancreatic Tumors , St. Louis, C. V. Mosby Company, 1942, Chap. 7-9 . 5. Kretchmer, H. L.: Pyelography , S. Clin. North America 3:985-1006 ( (Aug.) ) 1923. 6. Abeshouse, B. S.: The Differential Diagnosis of Pancreatic and Renal Disease, with Particular Emphasis on Differentiating Pancreatic Cysts from Renal Cysts , Surg., Gynec. & Obst. 96:1-28 ( (Jan.) ) 1953. 7. Zaoussis, A. L.: Pancreatic Cysts—Surgical Treatment Especially by the Use of Internal Drainage , Ann. Surg. 138:13-23 ( (July) ) 1953. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1954 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1954.01260050736002
Publisher site
See Article on Publisher Site

Abstract

Abstract THE PURPOSE of this paper is to present a study of 12 cases of pancreatic cyst, an uncommon disease frequently difficult or impossible to diagnose during the early stages of its development. Accepted classifications, in general, divide these growths into two main groups: the true cyst, containing pancreatic ferments, and the false or pseudocyst, which has no epithelial lining and usually is located in the lesser peritoneal cavity. This report concerns only cysts of the retention and pseudo types. Symptoms from which a diagnosis can be made are usually absent during the beginning weeks or even months of the disease, and not until the cyst has attained sufficient size to create pressure on the gastrointestinal, biliary, or urinary tracts do suspicious symptoms appear. Epigastric pain radiating to the back or left side was present in 85% of our cases, and a firm smooth round tumor eventually became manifest in the References 1. Poppel, M. H., and Marshak, R. H.: Roentgen Diagnosis of Pancreatic Disease , Am. J. Roentgenol. 52:307-316 ( (Sept.) ) 1944. 2. Haukohl, R. S., and Melamed, A.: Cystadenoma of the Pancreas , Am. J. Roentgenol. 63:234-245 ( (Feb.) ) 1950. 3. Case, J. T.: Roentgenology of Pancreatic Disease , Am. J. Roentgenol. 44:485-518 ( (Oct.) ) 1940. 4. Brunschwig, A.: Surgery of Pancreatic Tumors , St. Louis, C. V. Mosby Company, 1942, Chap. 7-9 . 5. Kretchmer, H. L.: Pyelography , S. Clin. North America 3:985-1006 ( (Aug.) ) 1923. 6. Abeshouse, B. S.: The Differential Diagnosis of Pancreatic and Renal Disease, with Particular Emphasis on Differentiating Pancreatic Cysts from Renal Cysts , Surg., Gynec. & Obst. 96:1-28 ( (Jan.) ) 1953. 7. Zaoussis, A. L.: Pancreatic Cysts—Surgical Treatment Especially by the Use of Internal Drainage , Ann. Surg. 138:13-23 ( (July) ) 1953.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jun 1, 1954

References