Basurto KEOP, Sánchez LR, Acosta RAV, Carvajal NDM, Garza FJH, Chapa AO

Language: Spanish
References: 10
Page: 304-307
PDF size: 97.89 Kb.

ABSTRACT

Introduction: The solid cystic tumor of the pancreas is an uncommon neoplasm, with low grade malignancy and predominating in women.
Objective: To report the case of a female patient with a solid-cystic tumor of the pancreas.
Setting: Third level health care hospital.
Description of the case: Woman, 22 years old, with abdominal pain of one-year evolution, symptomatology consisted of pain in the epigastrium and postpandrial plenitude sensation. At her admittance, an abdominal tumor was found. She was subjected to ultrasound and computed tomography studies, which revealed a pancreatic tumor; tumor markers were negative. Besides, a selective arteriography was performed, which discarded arterial or venous compromise. Laparotomy revealed a tumor in the body and tail of the pancreas without invading the neighboring organs, without metastasis. Distal pancreatectomy was performed. The patient evolved without complications.
Conclusion: Treatment is surgical, resecting the tumor. In a little over 10% of patients, recurrence or metastasis has been reported after an average of 10 years of the resection.

REFERENCES

1. Pelosi G, Lannucci A, Zamboni G, Bresaola E, Iacomo 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.

2. Frantz VK. Papillary tumors of the pancreas: benign or malignant? En: Frantz VK, ed. Tumors of the pancreas. Atlas of tumor pathology, 1st series, section VII, fascicles 27-28, Washington, DC: US Armed Forces Institute of Pathology, 1959; 27: 32-3.

3. 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.

4. Sener SF, Fremgen A, Imperato JP, Sylvester J, Chmiel JS. Pancreatic cancer in IIIinois. A report by 88 hospitals on 2,401 patients diagnosed 1978-84. Am Surg 1991; 57: 490-5.

5. Crawford JM, Contran RS. El páncreas. En: Contran RS, Kumar V, Robbins SL, eds. Robbins patología estructural y funcional. 5ª ed. México: Interamericana McGraw-Hill; 1995; p. 993-1024.

6. Bartsch D, Bastian D, Barth P, Schudy A, Nies C, Kisker O et al. K-ras oncogene mutations indicate malignancy in cystic tumors of the pancreas. Ann Surg 1998; 228: 79-86.

7. Ky A, Shilyansky J, Gerstle J, Taylor G, Filler RM, Grace N et al. Experience with papillary and solid epithelial neoplasms of the pancreas in children. J Pediatr Surg 1998; 33: 42-4.

8. Valdés-González R, Molinar L, Ortega-Salgado JA. Neoplasia epitelial papilar sólida y quística de páncreas. Imágenes del tumor y seguimiento. Gac Méd Méx 1999; 135: 333-7.

9. Procacci C, Graziani R, Bicego E, Zicari M, Bergamo Andreis IA, Zamboni G et al. Papillary cystic neoplasm of the pancreas: radiological findings. Abdom Imagin 1995; 20: 554-8.

10. Procacci C, Biasiutti C, Carbognin G, Accordini S, Bicego E, Guarisc A et al. Characterization of cystic tumors of the pancreas: CT accuracy. J Comput Assist Tomogr 1999; 23: 906-12.