The changing spectrum of surgically treated XXXX .

@entity1 @entity788 @entity4929 @entity75 @entity5 @entity660 @entity260
Introduction. While the incidence of @entity660 has steadily increased, we sought to evaluate the changes in their surgical management. Methods. @entity1 with @entity660 who underwent surgical resection from 2003 to 2013 were identified. Clinicopathologic factors were analyzed and compared to a similar cohort from 1992 to 2002. Results. There were 134 @entity1 with @entity660 who underwent surgical resection from 2003 to 2013, compared to 73 from 1992 to 2002. The most common preoperative imaging was a CT scan, although 66% underwent EUS and 63% underwent biopsy. Pathology included 18 serous, 47 mucinous, 11 pseudopapillary, and 58 @entity4929 ( @entity4929 ). In comparing cohorts, there were significantly fewer @entity75 and more @entity4929 . @entity260 rates were similar, and perioperative mortality rates were comparable. Conclusion. There has been a dramatic change in surgically treated @entity788 over the past two decades. Our data suggests that the incorporation of new imaging and diagnostic tests has led to greater detection of @entity5 and a decreased rate of potentially unnecessary resections. Therefore, all @entity1 with cystic @entity660 should undergo a focused @entity788 , and an EUS biopsy should be considered, in order to best select those that would benefit from surgical resection.
