Masses can be described based on their physical characteristics, as defined by imaging studies, as:
1. solid (consisting of solid abnormal tissue) or
2. cystic (filled with mucus or fluid).
Masses can also further be described based on their aggressiveness usually based on imaging and examination of their cells under the microscope as:
1. benign (no potential for turning into cancer)
2. premalignant (some potential to turning into cancer) and
3. malignant (cancer).
Two kinds of pancres tumors (masses or neoplasms)
Masses can be described based on their physical characteristics, as defined by imaging studies, as:
1. solid (consisting of solid abnormal tissue) or
2. cystic (filled with mucus or fluid).
Masses can also further be described based on their aggressiveness usually based on imaging and examination of their cells under the microscope as:
1. benign (no potential for turning into cancer)
2. premalignant (some potential to turning into cancer) and
3. malignant (cancer).
Surgery: All of the information obtained in the medical history, imaging and pathological analyses are considered in determining the best management of a pancreatic mass. In general, most solid pancreatic masses are either malignant or have malignant potential. Therefore, most solid tumors are removed surgically. Exceptions to removal of solid tumors exist but are rare. The management of pancreatic cyst is often much more complex since the majority of these types of tumors are benign and therefore do not require surgery. The key in management of pancreatic cystic lesions is to avoid an operation in people who have “innocent” cysts while on the other hand not choosing to observe individuals with cysts that may harbor malignancy. This concept may seem simple, but in practice differentiating between these two groups requires experienced physicians. In fact, here at Johns Hopkins we have an entire clinic dedicated to the management of pancreatic cysts (the phone number of our pancreatic cyst clinic is 410-933-PANC). Very specific criteria have been developed to guide the management of pancreatic cystic lesions and are used to predict the need for surgical resection. These criteria rely on accurate imaging and pathological data. If surgery is to be performed for a mass this surgery should be done in a center with experienced pancreatic surgeons who perform many of these types of operations on a regular basis.
1. solid (consisting of solid abnormal tissue) or
2. cystic (filled with mucus or fluid).
Masses can also further be described based on their aggressiveness usually based on imaging and examination of their cells under the microscope as:
1. benign (no potential for turning into cancer)
2. premalignant (some potential to turning into cancer) and
3. malignant (cancer).
Surgery: All of the information obtained in the medical history, imaging and pathological analyses are considered in determining the best management of a pancreatic mass. In general, most solid pancreatic masses are either malignant or have malignant potential. Therefore, most solid tumors are removed surgically. Exceptions to removal of solid tumors exist but are rare. The management of pancreatic cyst is often much more complex since the majority of these types of tumors are benign and therefore do not require surgery. The key in management of pancreatic cystic lesions is to avoid an operation in people who have “innocent” cysts while on the other hand not choosing to observe individuals with cysts that may harbor malignancy. This concept may seem simple, but in practice differentiating between these two groups requires experienced physicians. In fact, here at Johns Hopkins we have an entire clinic dedicated to the management of pancreatic cysts (the phone number of our pancreatic cyst clinic is 410-933-PANC). Very specific criteria have been developed to guide the management of pancreatic cystic lesions and are used to predict the need for surgical resection. These criteria rely on accurate imaging and pathological data. If surgery is to be performed for a mass this surgery should be done in a center with experienced pancreatic surgeons who perform many of these types of operations on a regular basis.
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