>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)
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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.
||Pancreas, cystic neoplasms, cystic carcinoma, abdominal pain.
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>Year 2017, Issue 1