Neoplasias quísticas del páncreas
Palabras clave:
páncreas, neoplasias pancreáticas, quiste pancreático, pancreatectomíaResumen
Dados el incremento del uso de la imaginología en el proceso diagnóstico y los avances tecnológicos en su resolución y calidad, muchas enfermedades antes no esclarecidas, e incluso asintomáticas, están siendo descubiertas accidentalmente. Tal es el caso de las lesiones quísticas del páncreas, las cuales no eran diagnosticadas unos 30 años atrás, puesto que la mayoría cursan sin síntomas. Gran cantidad de las lesiones quísticas sintomáticas que afectan el parénquima pancreático, se deben a la presencia de seudoquistes no neoplásicos, cuyo manejo puede ser simplemente el drenaje o el seguimiento médico, mientras que las lesiones quísticas generalmente asintomáticas, son quistes neoplásicos.
Descargas
Referencias bibliográficas
https://doi.org/10.1007/978-3-642-61024-0
2. Ohashi K, Mirukami Y, Muruyama M, Takekoshi T, Ohta H, Ohashi I. Four cases of mucus secreting pancreas cancer. Pro- gress of Digestive Endoscopy. 1982;20:348-51.
3. Tanaka M, Chari S, Adsay V, Fernández del Castillo C, Falconi M, Shimizu M, et al. International consensus guidelines for management of intraductal papillary mucinous neoplasms and mucinous cystic neoplasms of the pancreas. Pancreatology. 2006;6:17-32.
https://doi.org/10.1159/000090023
4. Bussom S, Saif MW. Intraductal papillary mucinous neoplasia (IPMN).Highlights from the "2010 ASCO Gastrointestinal Cancers Symposium". Orlando, FL, USA. January 22-24, 2010. JOP. 2010;11:131-4.
5. Jarry J, Belleannee G, Rault A, Sa Cunha A, Collet D. Can an intraductal papillary mucinous tumor be a potential indicator of concurrent adenocarcinoma of the pancreas? JOP. 2010;11:55-7
6. Baiocchi GL, Portolani N, Missale G, Baronchelli C, Gheza F, Cantù M, et al.Intraductal papillary mucinous neoplasm of the pancreas (IPMN): clinico-pathological correlations and surgical indications. World J SurgOncol. 2010;8:25.
https://doi.org/10.1186/1477-7819-8-25
7. Salvia R, Partelli S, Crippa S, Landoni L, Capelli P, Manfredi R, et al. Intraductal papillary mucinous neoplasms of the pan- creas with multifocal involvement of branch ducts. Am J Surg. 2009;198:709-14.
https://doi.org/10.1016/j.amjsurg.2008.10.022
8. Garcea G, Ong SL, Rajesh A, Neal CP, Pollard C A, Berry DP, Dennison AR. Cystic lesions of the pancreas. A diagnostic and management dilemma.Pancreatology. 2008;8:236-51.
https://doi.org/10.1159/000134279
9. Yamaguchi K, Watanabe M, Nakamura M, Konomi H, Tanaka M. Intraductal papillary-mucinous neoplasm of the pancreas. Nippon Rinsho. 2006;64(Suppl.1):52-9.
10. Salvia R, Festa I, Butturini G, Tonsi A, Sartori N, Biasutti C. Pancreatic cystic tumours. Minerva Chir. 2004;59:185-207.
11. Ceballos MM, Tangarife TE, Ruiz PM. Evaluación imaginoló- gica de las lesiones quísticas del páncreas Mag Reson Imaging. RevistaColombiana de Radiologia. 2010; 21(2):2882-900
12. Sidden C, Mortele K. Cystic tumors of the pancreas: Ultrasound, computed tomography, and magnetic resonance imaging featu- res. Semin Ultrasound CT MR. 2007;28:339-56
https://doi.org/10.1053/j.sult.2007.07.001
13. Sakamoto H, Kitano M, Kamata K, El-Masry M, Kudo M. Diagnosis of pancreatic tumors by endoscopic ultrasonography. World J Radiol. 2010;2:122-34.
https://doi.org/10.4329/wjr.v2.i4.122
14. Kitano M, Kudo M, Maekawa K, Suetomi Y , Sakamoto H, Fuku- ta N, et al. Dynamic imaging of pancreatic diseases by contrast enhanced coded phase inversion harmonic ultrasonography. Gut. 2004;53:854-9
https://doi.org/10.1136/gut.2003.029934
15. Ikeuchi N. Prognosis of cancer with branch duct type IPMN of the pancreas. World J Gastroenterol. 2010;16:1890.
https://doi.org/10.3748/wjg.v16.i15.1890
16. Calculli L, Pezzilli R, Brindisi C, Morabito R, Casadei R, Zom- patori M. Pancreatic and extrapancreatic lesions in patients with intraductal papillary mucinous neoplasms of the pancreas: A single-centre experience. Radiol Med. 2010;115:442-52.
https://doi.org/10.1007/s11547-010-0502-7
17. Kamisawa T, Tu Y, Egawa N. The incidence of pancreatic and extrapancreatic cancers in Japanese patients with chronic pan- creatitis. Hepatogastroenterology. 2007;54:1579-81.
18. Friedel DM, Abraham B, Georgiou N, Stavropoulos SN, Gren- dell JH, Katz DS. Pancreatic cystic neoplasms.Southern Medical Journal. 2010;103:51-7.
https://doi.org/10.1097/SMJ.0b013e3181c38770
19. Shin SH, Han DJ, Park KT, Kim YH, Park JB, Kim SC. Va- lidating a simple scoring system to predict malignancy and invasiveness of intraductal papillary mucinous neoplasms of the pancreas. World J Surg. 2010;34:776-83.
https://doi.org/10.1007/s00268-010-0416-5
20. Sugiyama M, Izumisato Y, Abe N, Masaki T, Mori T, Atomi Y. Predictive factors for malignancy in intraductal papillary mucinous tumours of the pancreas. Br J Surg. 2003;90:1244-9.
https://doi.org/10.1002/bjs.4265
21. Sohn TA, Yeo CJ, Cameron JL, Hruban RH, Fukushima N, Campbell KA, et al. Intraductal papillary mucinous neoplasms of the pancreas. Ann Surg. 2004;239:788-99.
https://doi.org/10.1097/01.sla.0000128306.90650.aa
22. Campbell F, Azadeh B. Cystic neoplasms of the exocrine pan- creas. Histopathology. 2008;52:539-51.
https://doi.org/10.1111/j.1365-2559.2007.02856.x
23. Ji Y, Xu JF, Kuang TT, Zhou YN, Lu SH, Tan YS. Mucin pro- file of the pancreatic mucinous cystic neoplasms. Chin Med J. 2006;119:328-30.
https://doi.org/10.1097/00029330-200602020-00011
24. Kloppel G, Luttges J. WHO classification 2000: Exocrine pan- creatic tumors. VerhDtschGesPathol. 2001;85:219-28.
25. Hara T, Kawashima H, Ishigooka M, Kashiyama M, Takanashi S, Yamazaki S, et al. Mucinous cystic tumors of the pancreas. Surg Today. 2002;32:965-9.
https://doi.org/10.1007/s005950200193
26. Scott J, Martin I, Redhead D, Hammond P, Garden OJ. Muci- nous cystic neoplasms of the pancreas: Imaging features and diagnostic difficulties. ClinRadiol. 2000;55:187-92.
https://doi.org/10.1053/crad.1999.0341
27. Thompson L, Becker R, Przygodzki R. Mucinous cystic neo- plasm (mucinous cystadenocarcinoma of low-grade malignant potential) of the pancreas: A clinicopathologic study of 130 cases. Am J SurgPathol. 1999;23:1-16.
https://doi.org/10.1097/00000478-199901000-00001
28. Izumo A, Yamaguchi K, Eguchi T. Mucinous cystic tumor of the pancreas: Immunohistochemical assessment of "ovarian-type stroma". Oncol Rep. 2003;10:515-25.
29. Terada T, Ohta T, Sasaki M, Nakanuma Y, Kim Y. Expression of MUC apomucins in normal pancreas and pancreatic tumours. J Pathol. 1996;180:160-5
https://doi.org/10.1002/(SICI)1096-9896(199610)180:2<160::AID-PATH625>3.0.CO;2-A
30. Lewandrowski KB, Southern JF, Pins MR, Compton CC, Warshaw AL. Cyst fluid analysis in the differential diagnosis of pancreatic cysts. A comparison of pseudocysts, serous cys- tadenomas, mucinous cystic neoplasms, and mucinous cystade- nocarcinoma. Ann Surg. 1993;217:41-7
https://doi.org/10.1097/00000658-199301000-00008
31. Brugge W, Lewandrowski K, Lee-Lewandrowski E, Centeno B, Szydlo T, Regan S, et al. Diagnosis of pancreatic cystic neoplasms: A report of the cooperative pancreatic cyst study. Gastroenterology. 2004;126:1330-6.
https://doi.org/10.1053/j.gastro.2004.02.013
32. Brugge WR, Lauwers GY, Sahani D, Fernández del Castillo C, Warshaw AL. Cystic neoplasms of the pancreas. N Engl J Med. 2004;351:18-26.
https://doi.org/10.1056/NEJMra031623
33. Matsumoto T, Hirano S, Yada K, Himeno Y, Shibata K, Aramaki M, et al. Safety and efficacy of laparoscopic distal pancreatec- tomy for the treatment of pancreatic disease. J Hepatobiliary Pancreat Surg. 2005;12:65-70.
https://doi.org/10.1007/s00534-004-0930-7
34. Falconi M, Salvia R, Bassi C, Zamboni G, Talamini G, Pe- derzoli P. Clinicopathological features and treatment of intra- ductal papillary mucinous tumour of the pancreas. Br J Surg. 2001;88:376-81.
https://doi.org/10.1046/j.1365-2168.2001.01720.x
35. Morgan DE. Cystic lesions of the pancreas. Semin Roentgenol. 2009;44:255-65.
https://doi.org/10.1053/j.ro.2009.05.007
36. Alsaad K, Chetty R. Serous cystic neoplasms of the pancreas. Current Diagnostic Pathology. 2005;11:102-9.
https://doi.org/10.1016/j.cdip.2004.11.003
37. Katz MHG, Mortenson MM, Wang H, Hwang R, Tamm EP, Staerkel G. Diagnosis and management of cystic neoplasms of the pancreas: An evidence-based approach. J Am Coll Surg. 2008;207:106-20.
https://doi.org/10.1016/j.jamcollsurg.2007.12.048
38. Compagno J, Oertel J. Microcystic adenomas of the pancreas (glycogen-rich cystadenomas): A clinicopathologic study of 34 cases. American J Clin Pathol. 1978;69:289-98.
https://doi.org/10.1093/ajcp/69.1.289
39. Hruban HR, Fukushima N. Cystic lesions of the pancreas. Diagn Histophatol. 2008;14:260-265.
https://doi.org/10.1016/j.mpdhp.2008.04.002
40. Fasanella KE, McGrath K. Cystic lesions and intraductal neoplasms of the pancreas. Best Pract Res Clin Gastroenterol. 2009;23:35-48.
https://doi.org/10.1016/j.bpg.2008.11.011
41. Butte JM, Noreno E, Duarte I, Llanos O. Tumores quísticos del páncreas. Revista Chilena de Cirugía. 2004;56:341-5.
42. Cao HST, Kellogg B, Lowy AM, Bouvet M. Cystic neoplasms of the pancreas. Surg Oncol Clin N Am. 2010;19:267-95.
https://doi.org/10.1016/j.soc.2009.11.004
43. Stamatakos M, Sargedi C, Angelousi A, Kontzoglou K, Safio- leas P, Petropoulou C, et al. Management of the rare entity of primary pancreatic cystic neoplasms. J Gastroenterol Hepatol. 2009;24:1203-10
https://doi.org/10.1111/j.1440-1746.2009.05855.x
44. Carpizo DR, Allen PJ, Brennan MF. Current management of cystic neoplasms of the pancreas. Surgeon. 2008;6:298-307.
https://doi.org/10.1016/S1479-666X(08)80055-8
45. Correa-Gallego C, Ferrone CR, Thayer SP, Wargo JA, Warshaw AL, Fernández del Castillo C. Incidental pancreatic cysts: Do we really know what we are watching? Pancreatology. 2010;10:144- 50.
https://doi.org/10.1159/000243733
46. Visser BC, Muthusamay VR, Mulvihill SJ, Coakley F. Diag- nostic imaging of cystic pancreatic neoplasms. Surg Oncol. 2004;13:27-39.
https://doi.org/10.1016/j.suronc.2004.01.002
47. Dewitt J. EUS-FNA of cystic pancreatic tumors. Tech Gastroin- test Endosc. 2005;7:181-7.
https://doi.org/10.1016/j.tgie.2005.10.005
48. Rickes S, Mönkemüller K, Malfertheiner P. Echo-enhanced ultrasound with pulse inversion imaging: A new imaging modality for the differentiation of cystic pancreatic tumours. J Gastroenterol. 2006;12:2205-8.
https://doi.org/10.3748/wjg.v12.i14.2205
49. Rickes S, Wermke W. Differentiation of cystic pancreatic neo- plasms and pseudocysts by conventional and echo-enhanced ultrasound. J Gastroenterol Hepatol. 2004;19(7):761-6.
https://doi.org/10.1111/j.1440-1746.2004.03406.x
50. Horvath KD, Chabot JA. An aggressive resectional approach to cystic neoplasms of the pancreas. Am J Surg. 1999;178:269-74.
https://doi.org/10.1016/S0002-9610(99)00186-5
51. Siech M, Tripp K, Schmidt-Rohlfing B, Mattfeldt T, Widmaier U, Gansauge F, et al. Cystic tumours of the pancreas: Diagnostic accuracy, pathologic observations and surgical consequences. Langenbeck Arch Surg. 1998;383:56-61.
https://doi.org/10.1007/s004230050092
52. Ooi L, Ho G, Chew S. Cystic tumours of the pancreas: A diag- nostic dilemma. Aust NZ J Surg. 1998;68:844-6.
https://doi.org/10.1111/j.1445-2197.1998.tb04699.x
53. Spinelli KS, Fromwiller TE, Daniel RA, Kiely JM, Nakeeb A, Komorowski RA. Cystic pancreatic neoplasms. Ann Surg. 2004;239:651-9.
https://doi.org/10.1097/01.sla.0000124299.57430.ce
54. Walsh RM, Vogt DP, Henderson JM, Zuccaro G, Vargo J, Dumot J. Natural history of indeterminate pancreatic cysts. Surgery. 2005;138:665-71.
https://doi.org/10.1016/j.surg.2005.07.019
55. Allen PJ, D'Angelica M, Gonen M, Jaques DP, Coit DG, Jar- nagin WR, et al. A selective approach to the resection of cysticlesions of the pancreas: Results from 539 consecutive patients. Ann Surg. 2006;244:572-82.
56. Tseng JF, Warshaw AL, Sahani DV, Lauwers GY, Rattner DW, Fernandez del Castillo C. Serous cystadenoma of the pancreas: Tumor gowth rates and recommendations for treatment. Ann Surg.2005;242:413-419; discussion 419-421.
57. Fernández del Castillo C, Targarona J, Thayer SP, Rattner DW, Brugge WR, Warshaw AL. Incidental pancreatic cysts: Clini- copathologic characteristics and comparison with symptomatic patients. Arch Surg. 2003;138:427-34.
https://doi.org/10.1001/archsurg.138.4.427
58. Papavramidis T, Papavramidis S. Solid pseudopapillary tumors of the pancreas: Review of 718 patients reported in English literature. J Am Coll Surg. 2005;200:965-72.
https://doi.org/10.1016/j.jamcollsurg.2005.02.011
59. Tipton S, Smyrk T, Sarr M, Thompson G. Malignant potential of solid pseudopapillary neoplasm of the pancreas. Br J Surg. 2006;93:733-7.
https://doi.org/10.1002/bjs.5334
60. Yu PF. Solid pseudopapillary tumor of the pancreas: A review of 553 cases in Chinese literature. World J Gastroenterol . 2010;16:1209.
https://doi.org/10.3748/wjg.v16.i10.1209
61. Aretxabala X, Roa I, León J, Maluenda F. Tumores quísticos del páncreas. Rev Med Chile. 2008;136:1188-96.
https://doi.org/10.4067/S0034-98872008000900016
62. Romics L, Oláh A, Belágyi T, Hajdú N, Gyurus P, Ruszinkó V. Solid pseudopapillary neoplasm of the pancreas -proposed algorithms for diagnosis and surgical treatment. Langenbeck Arch Surg. 2010;395:747-55.
https://doi.org/10.1007/s00423-010-0599-0
63. Casadei R, Santini D, Calculli L, Pezzilli R, Zanini N, Minni F. Pancreatic solid-cystic papillary tumor: Clinical features, ima- ging findings and operative management. JOP. 2006;7:137-44.
64. Bardales RH, Centeno B, Mallery JS, Lai R, Pochapin M, Guiter G, et al. Endoscopic ultrasound-guided fine-needle aspiration cytology diagnosis of solid-pseudopapillary tumor of the pancreas: A rare neoplasm of elusive origin but characteristic cytomorphologic features. Am J Clin Pathol . 2004;121:654-62.
https://doi.org/10.1309/DKK2B9V4N0W26A8Q
65. Klimstra DS. Nonductal neoplasms of the pancreas. Mod Pathol. 2007;20(Suppl.1):S94-112.
https://doi.org/10.1038/modpathol.3800686
66. Albores-Saavedra J, Simpson KW, Bilello SJ. The clear cell variant of solid pseudopapillary tumor of the pancreas: A previously unrecognized pancreatic neoplasm. Am J Surg Pathol. 2006;30:1237-42
https://doi.org/10.1097/01.pas.0000209849.97787.e0
67. Tang LH, Aydin H, Brennan MF, Klimstra DS. Clinically ag- gressive solid pseudopapillary tumors of the pancreas: A report of two cases with components of undifferentiated carcinoma and a comparative clinicopathologic analysis of 34 conventional cases. Am J Surg Pathol. 2005;29:512-9.
https://doi.org/10.1097/01.pas.0000155159.28530.88
68. Cerdán R, Barranco JI, Cantín S, Bernal J, Serrablo A, Esarte JM. Tumor de Frantz . Presentación de un caso. Revista Chilena de Cirugía. 2007;59:145-149.
https://doi.org/10.4067/S0718-40262007000200012
69. Panieri E, Krige JE, Bornman PC, Graham SM, Terblanche J, Cruse JP. Operative management of papillary cystic neoplasms of the pancreas. J Am Coll Surg. 1998;186:319-24.
https://doi.org/10.1016/S1072-7515(98)00015-5
70. Santini D, Poli F, Lega S. Solid-papillary tumors of the pancreas: Histopathology. JOP. 2006;7:131-6.
71. Kosmahl M, Seada LS, Jänig U, Harms D, Klöppel G. Solid- pseudopapillary tumor of the pancreas: Its origin revisited. Virchows Arch. 2000;436:473-80.
https://doi.org/10.1007/s004280050475
72. Aretxabala X, Rencoret G, Maluenda F, Fernandez C, Csendes A. Tumor sólido pseudopapilar del páncreas: caso clínico. Revista Chilena de Cirugía. 2008;60:241-5.
https://doi.org/10.4067/S0718-40262008000300013
73. Adsay NV. Cystic neoplasia of the pancreas: Pathology and biology. J Gastrointest Surg. 2008;12:401-4.
https://doi.org/10.1007/s11605-007-0348-z
74. De Castro SMM, Singhal D, Aronson DC, Busch ORC, van Gulik TM, Obertop H. Management of solid-pseudopapillary neoplasms of the pancreas: A comparison with standard pan- creatic neoplasms. World J Surg. 2007;31:1130-5.
https://doi.org/10.1007/s00268-006-0214-2
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Todos los textos incluidos en la Revista Colombiana de Cirugía están protegidos por derechos de autor. Las opiniones expresadas en los artículos firmados son las de los autores y no coinciden necesariamente con las de los directores o los editores de la Revista Colombiana de Cirugía. Las sugerencias diagnósticas o terapéuticas como elección de productos, dosificación y métodos de empleo corresponden a la experiencia y al criterio de los autores.