Abstract
Pancreatic intraductal papillary-mucinous neoplasm is a rare primary neoplasm of unknown pathogenesis. This kind of tumor represents 0.2-2.7% of all pancreatic cancers and they may proceed to malignant lesions. In this study, we describe a case of pancreatic intraductal papillary-mucinous tumor (4.3 cm) with normal tumoral markers and nuclear atypia. We perform also a systematic review of the literature on MEDLINE and find only one relevant study that used microwave ablation for the palliative treatment of pancreatic tumor. We describe the case of a 70-year-old Caucasian male who was diagnosed with a pancreatic tumor with biliary tree dilatation. The patient underwent computed tomography (CT), percutaneous biopsy, and an endoscopic positioning of prosthesis in the biliary tree. Due to the worsening of jaundice and cholestasis, and considering the severe systemic disease status, palliative surgery with microwave thermoablation in the head of pancreas was performed. No complications were observed. The hospitalization lasted for 11 days after surgery, with normal liver and pancreatic lab tests at discharge. The patient followed a line of chemotherapy for 6 months with a complete response for 8 months. One month after the treatment...Continue Reading
References
Mar 19, 2004·The New England Journal of Medicine·John P NeoptolemosUNKNOWN European Study Group for Pancreatic Cancer
Apr 15, 2004·Annals of Surgery·Roberto SalviaAndrew L Warshaw
Apr 28, 2005·Gastrointestinal Endoscopy·S Ian GanWilliam R Brugge
Dec 6, 2005·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Masao TanakaUNKNOWN International Association of Pancreatology
Nov 29, 2007·Annals of Surgery·Cosimo SpertiSergio Pedrazzoli
Feb 12, 2008·Gastrointestinal Endoscopy·Hyoung-Chul OhMyung-Hwan Kim
Jul 8, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Raymond S TangJames J Farrell
Oct 25, 2008·Scandinavian Journal of Gastroenterology·Hyoung-Chul OhMyung-Hwan Kim
Jul 7, 2009·Gastrointestinal Endoscopy·John DeWittWilliam R Brugge
Apr 9, 2010·World Journal of Surgical Oncology·Gian Luca BaiocchiStefano M Giulini
Oct 5, 2010·Journal of the American College of Radiology : JACR·Lincoln L BerlandAndrew J Taylor
Oct 19, 2010·Gastroenterology·Hyoung-Chul OhJihun Kim
Nov 15, 2011·Gastrointestinal Endoscopy·Michael J LevyAdrian Vella
Jun 13, 2012·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Masao TanakaUNKNOWN International Association of Pancreatology
Jul 14, 2012·Annals of Surgery·Stefan FritzJens Werner
Oct 2, 2012·Gastrointestinal Endoscopy·Paolo Giorgio ArcidiaconoPier Alberto Testoni
Oct 12, 2012·Langenbeck's Archives of Surgery·Roberto GirelliClaudio Bassi
Jul 16, 2013·Annals of Oncology : Official Journal of the European Society for Medical Oncology·V HeinemannS Boeck
Mar 8, 2014·World Journal of Gastroenterology : WJG·Margaret G KeaneGiuseppe K Fusai
Nov 21, 2015·Cancer·Matthew T McMillanCharles M Vollmer
Dec 23, 2015·Surgery Today·Yusuke WatanabeShoshu Mitsuyama
Jan 15, 2016·Pancreas·Joo Kyung ParkYong-Tae Kim
May 27, 2016·Endoscopy International Open·Matthew T MoyerBradley Mathers