[Surgical diagnosis of malignant pancreatic cysts]

An analysis of the clinical course, diagnosis and surgical treatment of 8 cases (out of 102) of malignant degeneration of pancreatic gland cysts is reported. Males--6, females--2, their age ranging from 23 to 52 years. Radical intervention was performed in 6 patients, in one case an internal drainage with the jejunum was made due to an erroneous histological and cytological conclusion, and in one case an external drainage of the cyst was performed. In 6 patients the diagnosis was established during the operative procedure. Due to diagnostic difficulties arising in malignant regeneration of pancreatic cysts the primary importance is attached to the intraoperative methods of investigation: urgent biopsy from different sites of the cyst, cytological assay and pancreatocystography.