Cystic neoplasms of the pancreas are rare but in the last years more f
requently detected. Within a 10-year-period we treated 30 patients, in
cluding 8 serous cystadenomas, 6 mucinous cystadenomas, 12 mucinous cy
stadenocarcinomas, 2 cystic neuro-endocrine tumors and 1 papillary cys
tic tumor respectively acinar cell cystadenocarcinoma. 80% of the pati
ents had symptoms, experienced abdominal pain, weight loss, weakness o
r abdominal mass. In eight patients the tumors had been misdiagnosed a
s a pancreatic pseudocyst. The correct type of cystic tumor was diagno
sed by preoperative investigations only in few cases. All patients wit
h serous or mucinous cystadenomas are well and without evident recurre
nce after resection of the tumor. However the survival time of maligna
nt cystic tumors varied strongly. The curative resection of these tumo
rs give patients the chance of long-term survival.