Serous cystadenoma of the pancreas are rare tumors and have little or no malignant potential.We report our experience in the management of eight casses of these tumors in the last 22 years. All the
patients were women with a mean age of 59 years. All the cysts caused symptoms. Ultrasound and CTscan
were useful in the diagnosis of the pancreatic cystic tumor out not in determining the nature of these
lesions clear. FNA-biopsy was performed in 6 cases but in only one c se was the diagnosis confirmed. All
tumors were resected. Four radical pancreatoduodenectomies, two distal pancreatectomies and two
cystectomies were performed. Mean followup was 83.5 months. All patients are alive and with no signs of
recurrence. Complications include an external pancreatic fistula, an acute cholangitis and a case of
delayed gastric emptying. In all cases the histological diagnosis was serous cystadenoma of the pancreas.
We conclude that resection of these tumors is mandatory although they are supposed to be benign, in
order to avoid complications and because malignant transformations has been related to nonresective
treatment.