Solid and papillary neoplasm of the pancreas. Emphasis on surgical treatment

Archives of Surgery
L B JengR P Tang

Abstract

Six Chinese females with solid and papillary neoplasms of the pancreas underwent surgery. Mean age was 26 years. The most common clinical sign was a large palpable abdominal mass. One patient presented with shock and acute onset of abdominal pain with positive peritoneal signs due to rupture of the tumor. The surgical procedures included Whipple's operation in one patient with a tumor at the head of pancreas, a 75% distal pancreatectomy in two patients with tumor of the body or tail of the pancreas, a partial pancreatectomy and pancreaticogastrostomy in one patient with a tumor at the neck and body of the pancreas, total excision in one patient with a tumor of the body of the pancreas, and a Roux-en-Y cystojejunostomy in one patient with a huge unresectable tumor of the head and body of the pancreas. During the follow-up period of from 40 to 83 months, four patients had survived and two had died of causes unrelated to the tumor in the differential diagnosis of a pancreatic mass, especially in young women with long histories of epigastric masses. Resection is the treatment of choice when the tumor is resectable. For unresectable tumors, a bypass procedure might be an alternative.

Citations

Jun 6, 2013·Case Reports in Medicine·Susumu TakamatsuHiroshi Maruyama
Mar 19, 2014·Cirugía española·Lucía de Gregorio MuñizCarlos Fernández-del Castillo
Feb 2, 2008·World Journal of Gastroenterology : WJG·Cosimo SpertiSergio Pedrazzoli
Jul 18, 2002·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·I PetrakisG Chalkiadakis
Jun 1, 2005·Journal of the American College of Surgeons·Theodossios Papavramidis, Spiros Papavramidis
Nov 7, 2006·Current Surgery·Wesley P FrancisJohn D Webber
Feb 9, 2002·Annals of Surgical Oncology·Robert C G MartinKevin C Conlon
May 9, 2007·Modern Pathology : an Official Journal of the United States and Canadian Academy of Pathology, Inc·David S Klimstra
Apr 1, 2010·The Indian Journal of Surgery·K Miglani RipanK V Ashok Kumar
Nov 17, 2005·Pathology International·Yoshihisa TakahashiShigeo Mori
Mar 27, 2004·ANZ Journal of Surgery·Valery UsatoffJohn Buckels
Jul 25, 2019·Medicine·Simona GurzuIoan Jung

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