Question:

What is the best surgical management for pancreatic dermoid cysts?
1. External drainage.
2. Internal drainage.
3. Distal pancreatectomy.
4. Pancreaticoduodenectomy (Whipple procedure).
5. Simple excision.





Answer:

The correct answer for the question "What is the best surgical management for pancreatic dermoid cysts?" is:

5. Simple excision.



Explanation
5. [The treatment of pancreatic dermoid cysts has been variable, but good surgical outcomes have predominantly been achieved with simple cystectomy (excision).]



From the manuscript:
Dermoid cyst of the pancreas: A case report with literature review
Radiology Case. 2012 Dec; 6(12):17-25


This article belongs to the GI section.




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From the manuscript

Dermoid cyst of the pancreas: A case report with literature review

Free full text article: Dermoid cyst of the pancreas:  A case report with literature review

Abstract
Pancreatic dermoid cysts represent a rare entity with 35 cases described in the world literature, including the present one. Pre-operative diagnosis is difficult, with definitive diagnosis usually taking place intra-operatively. We report the case of a 63 year old male with a symptomatic, 6 cm cystic mass in the body of the pancreas. The pre-operative evaluation suggested a cystic neoplasm, but was indeterminate as to whether the lesion was benign or malignant. The diagnosis of dermoid cyst was made intra-operatively with frozen section. Although the diagnosis could not be made pre-operatively this retrospective report highlights the difficulty in evaluating cystic pancreatic lesions by imaging and summarizes the current body of knowledge on this rare entity.






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