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> Cystic Neoplasms of the Pancreas > Mucinous Cystadenoma
Most mucinous cystadenomas are asymptomatic, but they can cause pain.
These tumors are most often seen in the tail of the pancreas of young women.
Imaging will reveal a unilocular cyst (a cysts containing only one compartment), or one with a few septations (divisions causing multiple compartments within the cyst).
If fluid is removed and sent for biochemical analysis (obtained by endoscopic ultrasound), the CEA will be high (over 192 ng/mL) and the amylase level will be low, because these cysts do not communicate with the pancreatic ductal system.
Theses cysts do have the potential to become malignant (mucinous cystadenocarcinoma).
Because these cysts are generally identified in young and otherwise healthy women and because of their malignant potential, the recommendation is for surgical removal.
Because most of these cysts are found in the tail of the pancreas, most of these patients will need a distal pancreatectomy, which can be performed by a variety of techniques.