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Neoplasia quística mucinosa gigante del páncreas tratada con pancreatectomía corporocaudal y preservación esplénica / Giant mucinous cystic neoplasm of the pancreas undergoing pancreatectomy with splenic preservation
Manterola, Carlos; Navarrete, Andrés; Becker, Renato.
  • Manterola, Carlos; Universidad de La Frontera. Centro de Excelencia en estudios Morfológicos y Quirúrgicos. Temuco. CL
  • Navarrete, Andrés; Clínica RedSalud Mayor. Temuco. CL
  • Becker, Renato; Instituto de Patología Celular y Molecular (iPat). Temuco. CL
Int. j. morphol ; 38(6): 1722-1728, Dec. 2020. tab, graf
Article in Spanish | LILACS | ID: biblio-1134504
RESUMEN
RESUMEN La neoplasia quística mucinosa del páncreas (NQMP) es un tumor infrecuente, que afecta predominantemente a mujeres (90-95 %), afectando especialmente entre la quinta y séptima década de la vida; cuyo descubrimiento suele ser incidental. Por lo general, son lesiones solitarias, sin compromiso del conducto pancreático principal; poco sintomáticas y asociadas a malignidad (10 % a 40 %). El objetivo de este manuscrito fue reportar un caso de neoplasia quística mucinosa gigante del páncreas intervenida quirúrgicamente y revisar la evidencia existente respecto de sus características morfológicas, terapéuticas y pronósticas. Mujer de 29 años, con masa abdominal poco sintomática. El diagnóstico se verificó por medio de ultrasonografía, tomografía axial computarizada y resonancia nuclear magnética. Se intervino quirúrgicamente, realizándose pancreatectomía corporocaudal con preservación esplénica, sin incidentes. La paciente fue dada de alta al quinto día, sin complicaciones, y evolucionó de forma adecuada, sin complicaciones postoperatorias. La NMQP es una lesión compleja, que puede asociarse a malignidad, pero el diagnóstico preoperatorio de malignidad no puede establecerse con seguridad. El pronóstico depende de un diagnóstico precoz y un tratamiento oportuno.
ABSTRACT

SUMMARY:

Mucinous cystic neoplasm of the pancreas (MCNP) are variable types of tumors, which predominantly affect women (90-95 %), and usually appear incidentally in the 5th to 7th decade of life. They are generally solitary lesions, with no involvement of the main pancreatic duct, rarely symptomatic and are associated with malignancy (10 % to 40 %). The aim of this manuscript was to report a case of giant mucinous cystic neoplasm of the pancreas surgically treated and review the existing evidence regarding its morphological, therapeutic and prognosis characteristics. Patient A 29-year-old woman with a slightly symptomatic abdominal mass. The diagnosis was verified with ultrasound, computed axial tomography and magnetic nuclear resonance. The patient underwent surgery; an uneventful corporocaudal pancreatectomy with splenic preservation was performed. She was discharged on the fifth day, and has evolved adequately, without postoperative complications. MCNP is a complex lesion, which can be associated with malignancy, but the preoperative diagnosis of malignancy cannot be established with certainty. Its prognosis depends on early diagnosis and timely treatment.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Pancreatectomy / Pancreatic Neoplasms / Cystadenoma, Mucinous Type of study: Prognostic study / Screening study Limits: Adult / Female / Humans Language: Spanish Journal: Int. j. morphol Journal subject: Anatomy Year: 2020 Type: Article Affiliation country: Chile Institution/Affiliation country: Clínica RedSalud Mayor/CL / Instituto de Patología Celular y Molecular (iPat)/CL / Universidad de La Frontera/CL

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Full text: Available Index: LILACS (Americas) Main subject: Pancreatectomy / Pancreatic Neoplasms / Cystadenoma, Mucinous Type of study: Prognostic study / Screening study Limits: Adult / Female / Humans Language: Spanish Journal: Int. j. morphol Journal subject: Anatomy Year: 2020 Type: Article Affiliation country: Chile Institution/Affiliation country: Clínica RedSalud Mayor/CL / Instituto de Patología Celular y Molecular (iPat)/CL / Universidad de La Frontera/CL