Granados RJJ, Sánchez ÁD, Martínez CG, Cabal JKE, Estrada LF

Language: Spanish
References: 14
Page: 155-159
PDF size: 299.19 Kb.

ABSTRACT

Antecedents: Cystic papillary tumors of the pancreas or tumor of Frantz are uncommon, affecting mostly young women. They have a low metastasic potential and are of unknown etiology.
Setting: Third level health care hospital.
Description of the case: Woman of 31 years, who initiated her ailment a year before with progressive increase of abdominal volume, sensation of fullness, and weight loss of 8 kg. Computed abdominal tomography revealed a retrogastric mass, for which she was subjected to exploratory laparotomy, revealing a tumor depending on the pancreas body, of 10 cm in its largest diameter, friable, solid, with loose adherences, and hypervascularized. The tumor was completely resected, including 25% of the pancreas body in the resection. The patient evolved satisfactorily during the postoperative period.
Conclusion: Total resection of the cystic papillary carcinoma of the pancreas is the surgical treatment of choice for this type of tumors.

REFERENCES

1. Rustin RB, Broughan TA, Hermann RE, Grunfest-Broniatowsky SF, Petras RE, Hart WR. Papillary cystic epithelial neoplasms of the pancreas. A clinical study of four cases. Arch Surg 1986; 121: 1073-6.

2. Bombí JA, Milla A, Badal JM, Piulachs J, Estape J, Cardesa A. Papillary-cystic neoplasm of the pancreas. Report of two cases and review of the literature. Cancer 1984; 54: 780-4.

3. Warshaw AL, Compton CC, Lewandrowski K, Cardenosa G, Mueller PR. Cystic tumors of the pancreas. New clinical, radiologic, and pathologic observations in 67 patients. Ann Surg 1990; 212: 432-43; discussion 444-5.

4. Shyr YM, Su CH, Tsay SH, Lui WY. Mucin producing neoplasms of the pancreas. Intraductal papillary and mucinous cystic neoplasm. Ann Surg 1996; 223: 141-6.

5. Mao C, Guvendi M, Domenico DR, Kim K, Thomford NR, Howard JM. Papillary cystic and solid tumors of the pancreas: a pancreatic embryonic tumor? Studies of three cases and cumulative review of the world’s literature. Surgery 1995; 118: 821-8.

6. Lam KY, Lo CY, Fan ST. Pancreatic solid-cystic-papillary tumor: clinicopathologic features in eight patients from Hong Kong and review of the literature. World J Surg 1999; 23: 1045-50.

7. Fukushima N, Mukai K. Pancreatic neoplasms with abundant mucus production: emphasis on intraductal papillary-mucinous tumors and mucinous cystic tumors. Adv Anat Pathol 1999; 6: 65-77.

8. Yang YJ, Chen SJ, Chan CJ, Lin PW, Chang KC, Tzeng CC. Papillary cystic tumor of the pancreas in children. Scand J Gastroenterol 1996; 31: 1223-7.

9. Merkle EM, Weber CH, Siech M, Kolokythas O, Tomczak R, Rieber A et al. Papillary cystic and solid tumor of the pancreas. Z Gastroenterol 1996; 34: 743-6.

10. Pelosi G, Iannucci A, Zamboni G, Bresaola E, Iacono C, Serio G. Solid and cystic papillary neoplasm of the pancreas: a clinico-cytopathologic and immunocytochemical study of five new cases diagnosed by fine-needle aspiration cytology and a review of the literature. Diagn Cytopathol 1995; 13: 233-46.

11. Hurtado AH, Cortés ET. Tumores quísticos. En: Herrera M, Campuzano M, Uscanga L. Páncreas. 2ª ed. México: McGraw-Hill; 2000: 421.

12. Compagno J, Oertel JE. Microcystic adenomas of the pancreas (glycogen-rich cystadenomas): a clinicopathologic study of 34 cases. Am J Clin Path 1978; 69: 289-98.

13. Shorten SD, Hart WR, Petras RE. Microcystic adenomas (serous cystadenomas) of pancreas. A clinicopathologic investigation of eight cases with immunohistochemical and ultrastructural studies. Am J Surg Pathol 1986; 10: 365-72.

14. Tarpila E, Borch K, Franzen L. Cystic neoplasms of the pancreas: a clinicopathological study of 38 cases. Dig Surg 1989; 6: 138-141.