Excision of mucinous cystadenoma of pancreas is safe and effective: a case report

作者: Elroy P. Weledji , Divine Eyongetah , Theophile C. Nana , Marcelin N. Ngowe

DOI: 10.1097/IJ9.0000000000000047

关键词: Mesenteric cystPancreatic cystsDistal pancreatectomyRadiologyPancreatic Mucinous CystadenomaCystPancreatic serous cystadenomaPancreasMedicineMucinous cystadenoma

摘要: Background: Pancreatic cysts are frequently detected incidentally, and a definitive preoperative diagnosis remains challenging. Benign cystic lesions have very high cure rate unless malignant change supervenes. Simple excision of benign the pancreas is safe effective. Case presentation: We present 31-year-old woman with 3-year history an enlarging symptomatic pancreatic mucinous cystadenoma, which was misdiagnosed radiologically as serous cystadenoma or mesenteric cyst. This managed safely by resection distal pancreatectomy that avoided. Conclusions: Excision effective, surveillance for recurrence not necessary.

参考文章(22)
Mustapha Adham, Central Pancreatectomy Archives of Surgery. ,vol. 143, pp. 175- 180 ,(2008) , 10.1001/ARCHSURG.2007.52
B. Blanc, A. Sauvanet, A. Couvelard, P. Pessaux, S. Dokmak, M.-P. Vullierme, P. Lévy, P. Ruszniewski, J. Belghiti, Résections limitées du pancréas pour tumeur intracanalaire papillaire et mucineuse non invasive Journal De Chirurgie. ,vol. 145, pp. 568- 578 ,(2008) , 10.1016/S0021-7697(08)74688-X
Robb E. Wilentz, Jorge Albores-Saavedra, Marianna Zahurak, Mark A. Talamini, Charles J. Yeo, John L. Cameron, Ralph H. Hruban, Pathologic examination accurately predicts prognosis in mucinous cystic neoplasms of the pancreas. The American Journal of Surgical Pathology. ,vol. 23, pp. 1320- 1327 ,(1999) , 10.1097/00000478-199911000-00002
Sang Myung Woo, Ji Kon Ryu, Sang Hyub Lee, Ji Won Yoo, Joo Kyung Park, Yong-Tae Kim, Yong Bum Yoon, Survival and prognosis of invasive intraductal papillary mucinous neoplasms of the pancreas: comparison with pancreatic ductal adenocarcinoma. Pancreas. ,vol. 36, pp. 50- 55 ,(2008) , 10.1097/MPA.0B013E31812575DF
Seiji Ohigashi, Gen Shimada, Akihiro Suzuki, Hisashi Onodera, Pancreas-sparing tumor enucleation for pancreatic mucinous cystic neoplasms: experience with two patients. Journal of Hepato-biliary-pancreatic Surgery. ,vol. 14, pp. 167- 170 ,(2007) , 10.1007/S00534-006-1144-Y
Koen de Jong, Marco J. Bruno, Paul Fockens, Epidemiology, diagnosis, and management of cystic lesions of the pancreas. Gastroenterology Research and Practice. ,vol. 2012, pp. 147465- 147465 ,(2012) , 10.1155/2012/147465
Marco Del Chiaro, Caroline Verbeke, Roberto Salvia, Gunter Klöppel, Jens Werner, Colin McKay, Helmut Friess, Riccardo Manfredi, Eric Van Cutsem, Matthias Löhr, Ralf Segersvärd, L Abakken, M Adham, N Albin, Å Andren-Sandberg, U Arnelo, M Bruno, D Cahen, C Cappelli, G Costamagna, M Del Chiaro, G Delle Fave, I Esposito, M Falconi, H Friess, P Ghaneh, IP Gladhaug, S Haas, T Hauge, JR Izbicki, G Klöppel, M Lerch, L Lundell, J Lüttges, M Löhr, R Manfredi, J Mayerle, C McKay, K Oppong, A Pukitis, E Rangelova, T Rosch, R Salvia, R Schulick, R Segersvärd, T Sufferlein, E Van Cutsem, SW Van der Merwe, C Verbeke, J Werner, G Zamboni, European experts consensus statement on cystic tumours of the pancreas. Digestive and Liver Disease. ,vol. 45, pp. 703- 711 ,(2013) , 10.1016/J.DLD.2013.01.010
Thilo Hackert, Ulf Hinz, Stefan Fritz, Oliver Strobel, Lutz Schneider, Werner Hartwig, Markus W. Büchler, Jens Werner, Enucleation in pancreatic surgery: indications, technique, and outcome compared to standard pancreatic resections. Langenbeck's Archives of Surgery. ,vol. 396, pp. 1197- 1203 ,(2011) , 10.1007/S00423-011-0801-Z
Richard A. Komorowski, James M. Kiely, Henry A. Pitt, Stuart D. Wilson, Attila Nakeeb, Cystic pancreatic neoplasms: Enucleate or resect? Journal of Gastrointestinal Surgery. ,vol. 7, pp. 890- 897 ,(2003) , 10.1016/S1091-255X(03)00145-8
Eizaburo Ohno, Yoshiki Hirooka, Akihiro Itoh, Masatoshi Ishigami, Yoshiaki Katano, Naoki Ohmiya, Yasumasa Niwa, Hidemi Goto, Intraductal papillary mucinous neoplasms of the pancreas: differentiation of malignant and benign tumors by endoscopic ultrasound findings of mural nodules. Annals of Surgery. ,vol. 249, pp. 628- 634 ,(2009) , 10.1097/SLA.0B013E3181A189A8