Resumo
The papillary cystic and solid tumor of the pancreas is rare. It occurs predominantly in young women and most present a benign behavior. The most common clinical sign is a large palpable abdominal mass. The pathogenesis of this tumor has attracted a number of investigations but remains unclear. We present a 18 year old white woman with abdominal mass detected after cesarian. Clinical examination showed minimal tenderness. There was no history of weight loss or jaundice. Haematological parameters were normal, except anaemia. The computed tomography was performed and surprisingly showed a 10 cm mass in the region of the tail of the pancreas. An extended distal pancreatectomy was performed with splenic preservation. The patient had an uneventful recovery and two months later remains asymptomatic.
Pancreatic neoplasms;
Pancreatic neoplasms;
RELATOS DE CASOS
Neoplasia papilar cístico-sólida de pâncreas
Papillary cystic and solid neoplasm of the pancreas
Gerson Alves Pereira Júnior, ACBC-SPI; Luis D. Silva Stracieri, TCBC-SPI; Paulo César EspadaII; José Ivan de Andrade, TCBC-SPIII; Reginaldo Ceneviva, TCBC-SPIV
IMédico Assistente do Serviço de Cirurgia da Unidade de Emergência do Hospital das Clínicas da FMRP-USP
IIAluno do Curso de Pós-graduação (Área de Clínica Cirúrgica) da FMRP-USP
IIIProfessor Doutor do Departamento de Cirurgia, Ortopedia e Traumatologia da FMRP-USP. Coordenador do Serviço de Cirurgia da Unidade de Emergência do Hospital das Clínicas de Ribeirão Preto - USP
IVProfessor Titular do Departamento de Cirurgia, Ortopedia e Traumatologia da FMRP-USP
Endereço para correspondência Endereço para correspondência: Dr. Gerson Alves Pereira Júnior Hospital das Clínicas FMRP-USP Unidade de Emergência Rua Bernardino de Campos. 1000 14015-130 - Ribeirão Preto - SP
ABSTRACT
The papillary cystic and solid tumor of the pancreas is rare. It occurs predominantly in young women and most present a benign behavior. The most common clinical sign is a large palpable abdominal mass. The pathogenesis of this tumor has attracted a number of investigations but remains unclear. We present a 18 year old white woman with abdominal mass detected after cesarian. Clinical examination showed minimal tenderness. There was no history of weight loss or jaundice. Haematological parameters were normal, except anaemia. The computed tomography was performed and surprisingly showed a 10 cm mass in the region of the tail of the pancreas. An extended distal pancreatectomy was performed with splenic preservation. The patient had an uneventful recovery and two months later remains asymptomatic.
Key words: Pancreatic neoplasms.
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Recebido em 13/4/98
Aceito para publicação em 2/7/98
Trabalho realizado no Serviço de Cirurgia da Unidade de Emergência do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo - FMRP-USP.
- 1. Kingsnorth AN, Galloway SW, Lewis-Jones H, et al- Papillary cystic neoplasm of the pancreas: presentation and natural history in two cases. Gut 1992;33:421-433.
- 2. Mao C, Guvendi M, Domenico DR, et al - Papillary cystic and solid tumors of the pancreas: A pancreatic embryogenic tumor? Studies of the three cases and cumulative review of the world's literature. Surgery 1995;118:821-828.
- 3. Jeng LBB, Chen MF, Tang RP - Solid and papillary neoplasm of the pancreas. Emphasis on surgical treatment. Arch Surg 1993;128: 433-436.
- 4. Zinner MJ - Solid and papillary neoplasms of the pancreas. Surgical Clinics of North America 1995;75:1.017-1.024.
- 5. Buchino JJ - Fine-needle aspiration of solid and papillary cystic tumor of the pancreas. Pediatr Pathol Lab Med 1996;16:235-242.
Endereço para correspondência:
Datas de Publicação
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Publicação nesta coleção
17 Maio 2010 -
Data do Fascículo
Out 1998
Histórico
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Aceito
02 Jul 1998 -
Recebido
13 Abr 1998
