RESUMO
OBJETIVO: descrever perfil clínico-cirúrgico do tumor sólido pseudopapilar do pâncreas. MÉTODOS: estudo observacional retrospectivo multi-institucional avaliando as características clínicas, radiológicas e cirúrgicas dos pacientes com diagnóstico de tumor sólido pseudopapilar do pâncreas submetidos a tratamento cirúrgico. RESULTADOS: foram identificados oito pacientes em três hospitais no estado do Amazonas, sendo sete do sexo feminino, seis com menos de 30 anos. A neoplasia predominou na cabeça do pâncreas. Cinco pacientes foram submetidos à duodenopancreatectomia, um à enucleação, um à pancreatectomia corpocaudal e o último foi considerado irressecável. CONCLUSÃO: o tumor sólido pseudopapilar do pâncreas predominou em pacientes jovens do sexo feminino, com localização predominante na cabeça do pâncreas.
OBJECTIVE: To describe the clinical, radiological and surgical features of solid pseudopapillary tumor of the pancreas. METHODS: We conducted a retrospective, observational study evaluating the multi-institutional clinical, radiological and surgical patients with a diagnosis of solid pseudopapillary tumor of the pancreas undergoing surgical treatment. RESULTS: We identified eight patients in three hospitals in the state of Amazonas, seven females, six under the age of 30. The neoplasia predominated in the head of the pancreas. Five patients underwent pancreaticoduodenectomy, one enucleation, one distal pancreatectomy, and one was considered unresectable. CONCLUSION: Solid pseudopapillary tumor of the pancreas predominated in young female patients, predominantly located in the pancreatic head.
Assuntos
Adolescente , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Pancreatectomia , Neoplasias Pancreáticas/diagnóstico , Neoplasias Pancreáticas/cirurgia , Neoplasias Pancreáticas , Estudos RetrospectivosRESUMO
Dermoid cysts or mature cystic teratomas are mesenchymal neoplasms most commonly found in the ovaries, but which may occur in any location along the pathways of ectodermal cell migration. They are rarely seen in the pancreas, where they show a slight preference for the pancreatic head. We report a case of dermoid cyst of the pancreas in a 69-year-old male patient, discussing the epidemiology, clinical presentation, diagnosis and treatment of this neoplasm. Since preoperative diagnosis is difficult, given its rarity in this site, it is usually diagnosed by histopathology of the specimen.
Cistos dermoides ou teratomas císticos maduros são neoplasias mesenquimais comumente encontradas nos ovários, mas que podem ocorrer em qualquer via de migração das células ectodérmicas. No pâncreas, a ocorrência é rara, sendo mais comum na cabeça pancreática. Relata-se caso de cisto dermoide do pâncreas em paciente masculino de 69 anos, discutindo-se epidemiologia, clínica, diagnóstico e tratamento dessa neoplasia, pouco suspeitada no pré-operatório devido à sua raridade nessa topografia; geralmente, é diagnosticada apenas pelo exame histopatológico da peça cirúrgica.
RESUMO
OBJECTIVE: To describe the clinical, radiological and surgical features of solid pseudopapillary tumor of the pancreas. METHODS: We conducted a retrospective, observational study evaluating the multi-institutional clinical, radiological and surgical patients with a diagnosis of solid pseudopapillary tumor of the pancreas undergoing surgical treatment. RESULTS: We identified eight patients in three hospitals in the state of Amazonas, seven females, six under the age of 30. The neoplasia predominated in the head of the pancreas. Five patients underwent pancreaticoduodenectomy, one enucleation, one distal pancreatectomy, and one was considered unresectable. CONCLUSION: Solid pseudopapillary tumor of the pancreas predominated in young female patients, predominantly located in the pancreatic head.