| Total pancreaticoduodenectomy and segmental resection of superior mesenteric vein-portal vein confluence with autologous splenic vein graft in mucinous cystadenocarcinoma of the pancreas. | |
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MedLine Citation:
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PMID: 21068503 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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CONTEXT: Mucinous cystic tumors occur almost exclusively in middle-aged women and in the body or tail of the pancreas. Mucinous cystadenocarcinoma, a malignant sub-type of mucinous cystic tumors, in the head of the pancreas and in a middle-aged man is extraordinary, and the prognosis and proper management of mucinous cystadenocarcinoma has not been well documented. CASE REPORT: A 52-year-old male patient with a mucinous cystadenocarcinoma approximately 5.5 cm in size in the head of the pancreas underwent a total pancreaticoduodenectomy and segmental resection of the superior mesenteric vein-portal vein confluence with an autologous splenic vein graft due to tumor invasion. His postoperative course was uneventful and he received adjuvant chemotherapy. He has been followed-up periodically for more than 30 months after surgery without evidence of recurrence. CONCLUSION: Mucinous cystadenocarcinoma in the head of the pancreas in a middle-aged man is an extremely rare case. Because mucinous cystadenocarcinomas have a relatively good prognosis, an aggressive approach with major vascular resection is warranted in well-selected patients. Splenic vein interposition grafting could be used in cases which undergo total pancreaticoduodenectomy with segmental resection of the superior mesenteric vein-portal vein confluence if the splenic vein is healthy. |
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Authors:
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Sung Hoon Choi; Ho Kyoung Hwang; Chang Moo Kang; Woo Jung Lee |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-11-09 |
Journal Detail:
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Title: JOP : Journal of the pancreas Volume: 11 ISSN: 1590-8577 ISO Abbreviation: JOP Publication Date: 2010 |
Date Detail:
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Created Date: 2010-11-11 Completed Date: 2011-01-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101091810 Medline TA: JOP Country: Italy |
Other Details:
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Languages: eng Pagination: 638-41 Citation Subset: IM |
Affiliation:
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Division of Biliopancreas, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cystadenocarcinoma, Mucinous
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pathology,
radiography,
surgery* Humans Male Mesenteric Veins / radiography, surgery* Middle Aged Pancreatic Neoplasms / pathology, radiography, surgery* Pancreaticoduodenectomy / methods* Portal Vein / radiography, surgery* Splenic Vein / transplantation* Tomography, X-Ray Computed Transplantation, Autologous |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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