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>Journals >Cirujano General >Year 2017, Issue 1

Chapa AÓ, Gopar OCV, Etchegaray DA, Higuera HF, Ortiz HV
Cystic pancreatic neoplasms: one more cause of nonspecific abdominal pain. Ten-year therapeutic experience in the Hepato-Pancreato-Biliary Surgery Unit of the General Hospital of Mexico
Cir Gen 2017; 39 (1)

Language: Español
References: 18
Page: 13-18
PDF: 4. Kb.

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Introduction: Pancreatic cystic neoplasms (PCN) originate from various glandular components; these are infrequent lesions that manifest as chronic and non-specific abdominal pain and are under diagnosed. Their knowledge must be diffused on the basis that each histological strain presents different biological behavior and it progresses to invasive carcinoma; its diagnosis and therapeutics in the early stages are critical. A retrospective analysis of patients with PCN treated at the hepatobiliary pathology clinic was carried out at the General Hospital of Mexico. Material and methods: A retrospective, descriptive and cross-sectional study was carried out from January 2004 to December 2014, in which we analyzed the demographic and clinical characteristics of the patients with a diagnosis of PCN, who were treated by surgical resection; the results were expressed through measures of central tendency and percentages. Results: A total of 18 cases, all of them female, with a frequency of two cases per year and a mean age of 38 years. The most frequently performed surgery was distal pancreatectomy and, secondly, pancreatoduodenectomy, with a morbidity of 39% and a mortality of 6%. Histopathological diagnoses were mucinous cystic neoplasm 33%, solid cystic neoplasm pseudopapillary mucinous 33%, serous cystic neoplasm 22%, neuroendocrine carcinoma with cystic degeneration 6%, and lymphoepithelial cyst 6%. Overall survival at five years was 83%. Discussion: PCN is a diagnostic and therapeutic challenge. In our setting, surgical treatment was curative in 83% of cases. The care of patients with PCN should be carried out in specialized units in hepatobiliary pathology, since it favors better results.

Key words: Pancreas, cystic neoplasms, cystic carcinoma, abdominal pain.


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>Journals >Cirujano General >Year 2017, Issue 1

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