Excel Hospital
  • Overview

    • Pancreatic cysts are being found more frequently because of the improvements in imaging technology.
    • Pancreatic cysts contain a pool of pancreatic fluid or semisolid matter made up of debris or destroyed tissue & they are located on or in the pancreas.

  • Types

    • True Cyst –a closed sac lined with epithelium

    - Mucinous cystadenoma:
    These cysts are usually located in the body or tail of the pancreas and occur most often in middle-aged women. Most of these are cancerous.
    - Mucinous duct ectasia:
    More common in men, these cysts consist of dilated ductal segments, usually within the head of the pancreas. Also known as intraductal papillary mucinous neoplasms, these growths are often cancerous.
    - Serous cystadenoma:
    These growths can become large enough to displace nearby organs, causing such symptoms as abdominal pain and a feeling of fullness. They occur most frequently in middle-aged women and become cancerous very rarely.
    - Papillary cystic tumor:
    The least common of the nonpseudocysts, papillary cystic tumors — also known as papillary cystic neoplasm or solid and pseudopapillary neoplasm — occur most often in young women and are usually located in the body or tail of the pancreas. They are usually cancerous.
    - Islet cell tumors:
    Also known as neuroendocrine tumors, are less common and more likely to be benign. Normally, the pancreas' islet cells produce insulin and other hormones. Islet cell tumors can also produce these hormones.

    • Pseudocyst -here the cyst is not lined by epithelium instead it is surrounded by fibrous tissue.
    - Most common pancreatic cystic lesions (about 75% to 80% of all pancreatic cystic lesions.

  • Causes

    • Unknown
    • Some illnesses — such as von Hippel-Lindau disease which is a genetic disorder that can affect the brain, retina, adrenal glands, kidneys and pancreas
    • Pseudocysts occur after the attacks of acute or chronic pancreatitis & are caused by a blockage in the pancreatic ductal system
    • Pseudocysts can also result from blunt trauma to the abdomen

  • Diagnosis

    • Ultrasound
    • Computerized tomography (CT)
    • Magnetic resonance imaging (MRI) scans
    • Endoscopic ultrasound

  • Treatment

    • Appropriate treatment differs depending on the type of cyst and whether it causes symptoms. Sometimes, no treatment is necessary.
    • A benign pseudocyst — even a large one — can be left alone as long as it isn't causing significant symptoms or enlarging.
    • A pseudocyst that is causing symptoms or growing larger requires drainage by Endoscopy or Surgery.