Document Detail


Solid cystic tumor of the head of the pancreas in a young woman.
MedLine Citation:
PMID:  9638446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This a case report of a solid papillary tumor of the pancreas in a young woman of 18 years, who was referred to after having suffered for a period of 8 months with a rather vague symptomatology, characterized by dyspepsia, fatigue and, towards the end of the 8 month period, weight loss (approximately 2 kg). In the last week, as a consequence of a modest abdominal trauma, the patient was submitted to abdominal CT that showed a burden at the head of the pancreas, demonstrating a round neoformation about 6 cm in diameter with solid echogenicity slightly hypodense. Subsequently, she underwent an operation with the diagnosis of pseudocystis of the pancreas. During surgery, a big cystic formation of the head of the pancreas, into which a drain was introduced, was revealed. The histological postoperative examination was compatible with pancreatic tumor with a low grade of malignancy, cystic papillary or solid papillary type. Therefore, the patient came under our observation and underwent an operation of pancreatoduodenectomy. Two years after the operation, the patient had completely recovered. In this case, we discussed the problem of performing certain preoperative diagnoses despite the aid of modern diagnostic imaging, this being a very rare illness that almost exclusively plagues young women (median age 19 years). This diagnosis has an uncertain histological origin and is generally accompanied by a modest and vague symptomatology. The surgical procedure, given the low grade of malignancy of the neoplasm and the excellent long-term prognosis, must be, with respect to the oncological radicality, as conservative as possible.
Authors:
A D'Amato; C Giovannini; A Pronio; M Cristaldi; C Brini; F Monardo; C Montesani; G Ribotta
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  45     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    1998 Mar-Apr
Date Detail:
Created Date:  1998-09-03     Completed Date:  1998-09-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  GREECE    
Other Details:
Languages:  eng     Pagination:  541-4     Citation Subset:  IM    
Affiliation:
Clinica Chirurgica VI, Policlinico Umberto I Università La sapienza, Roma, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Cystadenoma, Papillary* / diagnosis,  epidemiology,  surgery
Female
Humans
Pancreatic Neoplasms* / diagnosis,  epidemiology,  surgery
Pancreaticoduodenectomy

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