Pancreas Adenoma

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Mustafa Kerem - One of the best experts on this subject based on the ideXlab platform.

  • Giant serous microcystic Pancreas Adenoma
    Rare tumors, 2012
    Co-Authors: Kursat Dikmen, Hasan Bostanci, Ali Cihat Yıldırım, Omer Sakrak, Mustafa Kerem
    Abstract:

    Serous cystAdenomas are rare tumors comprising 1–2% of exocrine Pancreas tumors. They are mostly known as benign conditions but malign transformation as serous cystadenocarcinoma is also reported. It is usually seen in females. Non-specific symptoms, such as abdominal pain or symptoms due to mass affect, are usually seen. A 64-year old female patient was investigated for abdominal pain. Physical and laboratory findings were normal. Abdomen ultrasonography confirmed an 11×9.5 cm solid cystic lesion and abdomen computed tomography scan confirmed a 12×11 cm lobulated cystic solid lesion which had central cystic necrotic areas extending from liver hilus inferiorly. Fine needle biopsy confirmed benign cytology and trucut biopsy of the pancreatic mass reported chronic inflamation. Nevertheless, this mass could have malignant contents and transformation potential. A laparatomy was decided due to patient's symptoms and mass effect. Due to vascular invasion of the tumor, Whipple procedure was performed. The pathology report confirmed serous microcystic Adenoma. These rare tumors are usually benign but pre-operative malignity criterias are not identified. There are few differential diagnostic tools for excluding malignity. We suggest surgical resection as best treatment approach for selected cases.

Romeo Ramos De La Cruz - One of the best experts on this subject based on the ideXlab platform.

  • cistAdenoma seroso del Pancreas Adenoma microquistico informe de siete casos
    Revista Médica del Hospital General de México, 2002
    Co-Authors: Gerardo Aristi Urista, Avril Guerena Elizalde, Romeo Ramos De La Cruz
    Abstract:

    Cystic neoplasms of the Pancreas constitute an important group of tumors, although they are uncommon, they have a distinctive clinical presentation, indolent biological behavior and a high frequency of successful surgical management. The distinction between non-neoplastic and neoplastic cysts, and between the different types of cystic neoplasms is of considerable clinical importance. The most common cystic neoplasms of the Pancreas are the serous cystAdenomas (38%). However, they are rare, and not familiar to us; so preoperative diagnosis is often incorrect. This is a descriptive and retrospective study of autopsy and surgical pathology specimens during 10 year period (1991-2000). We found 7 cases of serous pancreatic cystAdenomas, five at autopsy, and two in surgical pathology material, all of them in adults (100%), with female predominance (71.4%). Most were incidental findings at autopsy (71.4%), and single lesions (71.4%), except those associated with von Hippel-Lindau disease (two cases). In none was the clinical diagnosis correct. The association with von Hippel-Lindau disease is one of the most characteristic aspects of this tumor. Complete surgical resection is curative and is the treatment of choice. Drainage is not adequate treatment.

Kursat Dikmen - One of the best experts on this subject based on the ideXlab platform.

  • Giant serous microcystic Pancreas Adenoma
    Rare tumors, 2012
    Co-Authors: Kursat Dikmen, Hasan Bostanci, Ali Cihat Yıldırım, Omer Sakrak, Mustafa Kerem
    Abstract:

    Serous cystAdenomas are rare tumors comprising 1–2% of exocrine Pancreas tumors. They are mostly known as benign conditions but malign transformation as serous cystadenocarcinoma is also reported. It is usually seen in females. Non-specific symptoms, such as abdominal pain or symptoms due to mass affect, are usually seen. A 64-year old female patient was investigated for abdominal pain. Physical and laboratory findings were normal. Abdomen ultrasonography confirmed an 11×9.5 cm solid cystic lesion and abdomen computed tomography scan confirmed a 12×11 cm lobulated cystic solid lesion which had central cystic necrotic areas extending from liver hilus inferiorly. Fine needle biopsy confirmed benign cytology and trucut biopsy of the pancreatic mass reported chronic inflamation. Nevertheless, this mass could have malignant contents and transformation potential. A laparatomy was decided due to patient's symptoms and mass effect. Due to vascular invasion of the tumor, Whipple procedure was performed. The pathology report confirmed serous microcystic Adenoma. These rare tumors are usually benign but pre-operative malignity criterias are not identified. There are few differential diagnostic tools for excluding malignity. We suggest surgical resection as best treatment approach for selected cases.

Gerardo Aristi Urista - One of the best experts on this subject based on the ideXlab platform.

  • cistAdenoma seroso del Pancreas Adenoma microquistico informe de siete casos
    Revista Médica del Hospital General de México, 2002
    Co-Authors: Gerardo Aristi Urista, Avril Guerena Elizalde, Romeo Ramos De La Cruz
    Abstract:

    Cystic neoplasms of the Pancreas constitute an important group of tumors, although they are uncommon, they have a distinctive clinical presentation, indolent biological behavior and a high frequency of successful surgical management. The distinction between non-neoplastic and neoplastic cysts, and between the different types of cystic neoplasms is of considerable clinical importance. The most common cystic neoplasms of the Pancreas are the serous cystAdenomas (38%). However, they are rare, and not familiar to us; so preoperative diagnosis is often incorrect. This is a descriptive and retrospective study of autopsy and surgical pathology specimens during 10 year period (1991-2000). We found 7 cases of serous pancreatic cystAdenomas, five at autopsy, and two in surgical pathology material, all of them in adults (100%), with female predominance (71.4%). Most were incidental findings at autopsy (71.4%), and single lesions (71.4%), except those associated with von Hippel-Lindau disease (two cases). In none was the clinical diagnosis correct. The association with von Hippel-Lindau disease is one of the most characteristic aspects of this tumor. Complete surgical resection is curative and is the treatment of choice. Drainage is not adequate treatment.

Hasan Bostanci - One of the best experts on this subject based on the ideXlab platform.

  • Giant serous microcystic Pancreas Adenoma
    Rare tumors, 2012
    Co-Authors: Kursat Dikmen, Hasan Bostanci, Ali Cihat Yıldırım, Omer Sakrak, Mustafa Kerem
    Abstract:

    Serous cystAdenomas are rare tumors comprising 1–2% of exocrine Pancreas tumors. They are mostly known as benign conditions but malign transformation as serous cystadenocarcinoma is also reported. It is usually seen in females. Non-specific symptoms, such as abdominal pain or symptoms due to mass affect, are usually seen. A 64-year old female patient was investigated for abdominal pain. Physical and laboratory findings were normal. Abdomen ultrasonography confirmed an 11×9.5 cm solid cystic lesion and abdomen computed tomography scan confirmed a 12×11 cm lobulated cystic solid lesion which had central cystic necrotic areas extending from liver hilus inferiorly. Fine needle biopsy confirmed benign cytology and trucut biopsy of the pancreatic mass reported chronic inflamation. Nevertheless, this mass could have malignant contents and transformation potential. A laparatomy was decided due to patient's symptoms and mass effect. Due to vascular invasion of the tumor, Whipple procedure was performed. The pathology report confirmed serous microcystic Adenoma. These rare tumors are usually benign but pre-operative malignity criterias are not identified. There are few differential diagnostic tools for excluding malignity. We suggest surgical resection as best treatment approach for selected cases.