PANCREATIC CYSTS

PANCREATIC CYSTS

Pancreatic cysts are fluid-filled sacs that grow on or in the pancreas. The pancreas is a large organ located in the abdomen in which it plays a vital role in making hormones that regulate blood sugar levels, as well as enzymes important to digestion.  This develop as a result of pancreatitis, which is an inflammation in the pancreas. In some cases, they develop unexplainably, often accidentally discovered when conducting an imaging test for another disease.

The majority of pancreatic cysts are noncancerous (benign) and asymptomatic, even. But the possibility of pancreatic cancer cannot be completely ruled out.

TYPES

This disease can generally be divided into two groups:

  • Nonneoplastic cysts: Benign
  • Neoplastic cysts: More serious and can either be benign or malignant

There are various subtypes of cysts in each of the groups. Common ones include pseudocysts, serous cystadenomas, and mucinous Cystic Neoplasms.

 

SYMPTOMS

Signs and symptoms of it depends on location and the size of the cysts. Usually, small cysts induce no symptoms. On the other hand, large pancreatic cysts can bring about moderate to severe symptoms, which include:

  • Severe and persistent abdominal pain caused by an obstruction to the movement of food
  • Abdominal bloating
  • Uneasiness of the stomach (nausea)
  • Vomiting
  • Weight loss
  • Feeling full after eating very little

DIAGNOSIS

The pancreas is situated deep within the abdominal cavity. It can be located and diagnosed using imaging technology. Doctors may use the following:

  • CT scan: It will provide information about the size and characteristics of the pancreatic cysts.
  • MRI scan: It will provide further characterization of the nature of the cysts, whether they are cancerous or not.
  • Endoscopic ultrasound: It will give detailed images of the pancreas and the cysts. It is recommended for cysts that have bothersome characteristics. Biopsies can also be collected through this procedure.
  • Magnetic resonance cholangiopancreatography (MRCP): It will show images of the pancreatic bile duct to detect whether there are pancreatic cysts inside.

Doctors can also determine the type of it using different factors such as the location of the cysts, features of the cysts, and age and sex of the patient.

 

TREATMENT

Treatment rests upon the size and characteristics of the cysts. Most pancreatic cysts, especially those who have small cysts and are asymptomatic, do not need treatment. Instead, they are asked to observe if the cysts continue to grow. On the other hand, Pancreatic cysts exhibiting persistent moderate to severe symptoms need medical treatment.

Treatments for pancreatic cysts include:

  • Observation: Small asymptomatic cysts do not require treatment, but they shall be kept in surveillance. Pancreatic cysts are monitored with yearly scans to monitor its nature and growth.
  • Drainage: It is a procedure in which an endoscope will pass through the mouth directed to the small intestine. It has endoscopic ultrasound, as well as a need to drain fluid from the cysts. In some cases, the drainage through the skin is the only workable choice.
  • Surgery: Pancreatic cysts that are enlarged and cancerous require removal.

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