Cystic Neoplasm of the Pancreas

Pulvirenti, Alessandra; Marchegiani, Giovanni; Malleo, Giuseppe; Borin, Alex; Allegrini, Valentina; Bassi, Claudio

doi:10.1007/s12262-015-1363-z

Cited by 10 publications

(6 citation statements)

References 35 publications

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“…1,2 Estudos populacionais baseados em exames de imagem evidenciaram uma prevalência de neoplasias císticas em torno de 2%, podendo chegar a cinco vezes mais em pacientes com mais de 70 anos de idade. 3 o ducto pancreático principal e apresentam revestimento todas as neoplasias pancreáticas 1 e incluem principalmente os cistoadenomas serosos e mucinosos, representando, neoplasia intraductal mucinosa papilífera, apesar de não ser uma lesão cística propriamente dita, pois apresentam comunicação ductal, é estudada nesta categoria, por possuir imagem semelhante secundária à necrose tumoral de neoplasias sólidas e o seu principal representante é o adenocarcinoma ductal. 1 pâncreas é extremamente necessária e útil, pois o cirurgião necessita avaliar o potencial maligno da referida lesão, já que o cistoadenoma seroso tem baixa malignidade e os outros (cistoadenoma mucinoso, neoplasia papilar intraductal e neoplasia sólido-cístico pseudopapilar) possuem um risco aumentado de evoluir com malignização.…”

Section: Introductionunclassified

“…1 pâncreas é extremamente necessária e útil, pois o cirurgião necessita avaliar o potencial maligno da referida lesão, já que o cistoadenoma seroso tem baixa malignidade e os outros (cistoadenoma mucinoso, neoplasia papilar intraductal e neoplasia sólido-cístico pseudopapilar) possuem um risco aumentado de evoluir com malignização. 3 Para que isso ocorra, o centro de referência deve ter disponível seja o acompanhamento clínico ou a ressecção do tumor.…”

Section: Introductionunclassified

“…Cistoadenomas com in situ são rotineiramente curáveis se submetidos à ressecção cirúrgica completa. 3,5 : neoplasia produtora de mucina do sistema ductal que exibe diversas atipias celulares causando dilatação dos ductos pancreáticos. Responsável por cerca de 25% de todas as neoplasias císticas do pâncreas.…”

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Lesões císticas do pâncreas: uma revisão da literatura

Filho¹,

Goes²

2017

Rev. Med. UFC

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RESUMOAtualmente no Brasil cresce o número de diagnósticos incidentais de tumores císticos de pâncreas em pacientes submetidos a exames de imagem com outra indicação. As neoplasias císticas do pâncreas podem ser divididas principalmente em cistoadenoma seroso, cistoadenoma mucinoso, cistoadenocarcinoma, neoplasia intraductal mucinosa papilífera (IPMN) e tumor sólido-cístico importante, potenciais malignos diferentes, ocasionando terapêuticas divergentes. Este trabalho tem como objetivo realizar uma Palavras-chave: Pâncreas. Cisto pancreático. Neoplasias pancreáticas. ABSTRACTCurrently in Brazil grows the number of incidental diagnosis of cystic tumors of the pancreas in patients undergoing imaging studies with another indication. Cystic neoplasms of the pancreas can be divided mainly into serous cystadenoma, mucinous cystadenoma, tumors with different characteristics and, most importantly, different malignant potential, leading to divergent therapies. This project aims to conduct a bibliographic review facilitating the diagnosis, treatment and the follow-up of patients.

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Section: Introductionunclassified

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Lesões císticas do pâncreas: uma revisão da literatura

Filho¹,

Goes²

2017

Rev. Med. UFC

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“…4 However imaging based population studies suggests an overall prevalence of 2%, but that becomes five times higher on individuals of more than 70-year-old. 5 We received a total of 38 cases of cystic pancreatic lesions which accounted for 24% (38/158) of all the pancreatic lesions received in our institution during the period of this study. Of this 42% (16/38) were non neoplastic and 58% (22/38) were neoplastic.…”

Section: Discussionmentioning

confidence: 99%

Morphologic features in cystic lesions of pancreas-a retrospective analysis

Cicy

Gopinathan

et al. 2018

Int J Adv Med

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Background: Cystic lesions of pancreas consist of a broad spectrum of reactive, benign and malignant conditions. The most common among cystic pancreatic lesions is pseudocyst of pancreas. Cystic tumours of pancreas are less common than solid one’s accounting for less than 1% according to some studies. Literature review showed only a few extensive studies on cystic lesions of pancreas, especially from South India.Methods: Our research is a descriptive histopathological analysis of 38 cases of cystic lesions of pancreas, done in the department of pathology of our institution, over a period of 5 years.Results: We received a total of 38 cases of cystic lesions of pancreas. The age distribution ranged from 17 to 77 years. Male to female ratio was 24: 14. There were neoplastic and non neoplastic entities. Pseudocyst of pancreas was the most common cystic lesion (12 cases). Benign neoplasms included serous cystadenomas, mucinous cystadenomas and lymphangiomas. Ductal adenocarcinomas with cystic degeneration and adenocarcinomas with mucinous component were some of the malignant cystic lesions.Conclusions: Cystic pancreatic lesions accounted for 24% of all the pancreatic lesions received in our institution during the period of this study. 24 cases (63%) were benign lesions and 14 cases (37 %) were malignant. Though cystic lesions of pancreas especially neoplasms are less frequent than solid neoplasms, it is important to study their diagnostic features since the management differs. Imaging studies may be similar in some cystic lesions. A proper clinicoradiological correlation and detailed investigational work up will aid in the correct diagnosis.

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“…The intraoperative ultrasound was used to assist the surgical team in the selection of organ sparing procedures. The management of the pancreatic stump was reported previously [17], consisting of a stapler reinforced with a PGA felt (NEOVEIL® Endo GIA™ Reinforced Reload with Tri‐Staple™ Technology 60 mm; COVIDIEN, North Haven, CT, USA), or an ultrasonic dissector (HARMONIC FOCUS or ACE®; Johnson & Johnson Medical, Ethicon, Somerville, NJ, USA). No additional sutures or patches were added during both techniques.…”

Section: Methodsmentioning

confidence: 99%

Robotic Dual‐Console Distal Pancreatectomy: Could it be Considered a Safe Approach and Surgical Teaching even in Pancreatic Surgery? A Retrospective Observational Study Cohort

et al. 2021

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Background The study aims to assess the safety and feasibility of the robotic dual-console during a robotic distal pancreatectomy Methods The data of the consecutive patients submitted to RDP from 2012 to 2019 at the Verona University were retrieved from a prospectively maintained database. The patients submitted to RDP were divided into the dual-console platform group (DG) and compared to the standard robotic procedure group (SG). Results In the study period, 102 robotic distal pancreatectomies were performed, of whom 42 patients (41%) belonged to the DG and 60 patients (59%) to the SG. Higher operation time was recorded in the DG compared to the SG (410 vs. 265 min, p < 0.001). The overall conversion rate of the series was 7% (n 7 patients). All the conversions were observed in the SG (p = 0.021). No differences in morbidity or pancreatic fistula rate were recorded (p > 0.05). No mortality events in the 90th postoperative days were reported in this series. Conclusions The robotic dual-console approach for distal pancreatectomy is safe, feasible, and reproducible. The postoperative surgical outcomes are comparable to the standard RDP with the single-console da Vinci Surgical System®. This surgical technique can widely and safely improve the robotic surgical training program.

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Cystic Neoplasm of the Pancreas

Cited by 10 publications

References 35 publications

Lesões císticas do pâncreas: uma revisão da literatura

Lesões císticas do pâncreas: uma revisão da literatura

Morphologic features in cystic lesions of pancreas-a retrospective analysis

Robotic Dual‐Console Distal Pancreatectomy: Could it be Considered a Safe Approach and Surgical Teaching even in Pancreatic Surgery? A Retrospective Observational Study Cohort

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