EUS Morphology Is Reliable in Selecting Patients with Mucinous Pancreatic Cyst(s) Most Likely to Benefit from Surgical Resection
Table 3
Characteristics of patients who underwent surgery.
Patients selected ()
Adeno Ca Yes = 19 N (%)
Adeno Ca No = 59 N (%)
value
Total = 78 N (%)
Gender
Female
6 (31.57%)
36 (61.01%)
0.035
42 (53.9%)
Male
13 (68.43%)
23 (38.98%)
36 (46.1%)
Symptoms
Abdominal pain
5 (26.31%)
19 (32.20%)
0.77
24 (30.8%)
Weight loss
6 (31.57%)
12 (20.33%)
0.35
18 (23.1%)
Jaundice
3 (15.78%)
2 (3.38%)
0.09
5 (6.4%)
Acute pancreatitis
3 (15.78%)
9 (15.25%)
1.00
12 (15.4%)
Mean (SD)
Mean (SD)
Mean (SD)
Age (years)
66.82 (8.48)
65.27 (10.75)
0.56
65.6 (10.22)
EUS features
Yes = 19 N (%)
No = 59 N (%)
value
Total = 78 N (%)
Cyst size ≥ 3 cm
15 (78.94%)
27 (45.76%)
0.016
42 (53.8%)
Thickened septa
8 (42.10%)
17 (28.81%)
0.39
25 (32.1%)
Focally thickened cyst wall
18 (94.73%)
31 (52.54%)
0.0008
49 (62.8%)
Dilated PD
10 (52.63%)
11 (18.64%)
0.0067
21 (26.9%)
Atypia/adenocarcinoma on cytology
18∗ (94.73%)
21∗∗ (35.59%)
0.0001
39 (50.0%)
18 patients include 16 patients with adenocarcinoma and 2 patients with atypia on cytology. 21 patients include 4 patients with adenocarcinoma and 17 patients with atypia on cytology. Adeno Ca: adenocarcinoma; SD: standard deviation; EUS: endoscopic ultrasound; PD: pancreatic duct.