Incidental lesions of the pancreas. A clinicopathological study of 100 cases surgically treated

  1. Hurtado Pardo, Luis 1
  2. Cienfuegos, Javier A. 234
  3. Antoñanzas, Javier 2
  4. Valentí, Víctor 2
  5. Benito, Alberto 2
  6. Pardo, Fernando 2
  7. Martínez Regueira, Fernando 2
  8. Zozaya, Gabriel 2
  9. Martí-Cruchaga, Pablo 2
  10. Lozano, María Dolores 2
  11. Subtil, José Carlos 2
  12. Rotellar, Fernando 2
  1. 1 Hospital Universitario La Fe
    info

    Hospital Universitario La Fe

    Valencia, España

    ROR https://ror.org/01ar2v535

  2. 2 Clínica Universitaria de Navarra
    info

    Clínica Universitaria de Navarra

    Pamplona, España

    ROR https://ror.org/03phm3r45

  3. 3 Instituto de Investigación Sanitaria de Navarra
    info

    Instituto de Investigación Sanitaria de Navarra

    Pamplona, España

  4. 4 Instituto de Salud Carlos III
    info

    Instituto de Salud Carlos III

    Madrid, España

    ROR https://ror.org/00ca2c886

Revista:
Revista Española de Enfermedades Digestivas

ISSN: 1130-0108

Ano de publicación: 2020

Volume: 112

Número: 2

Páxinas: 85-89

Tipo: Artigo

DOI: 10.17235/REED.2019.6118/2018 GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Revista Española de Enfermedades Digestivas

Obxectivos de Desenvolvemento Sustentable

Resumo

Objective: the objective of the present study was to analyze the characteristics of resected incidental lesions of the pancreas. Material and methods: a retrospective study was performed of pancreatectomies due to incidentalomas between 1995 and 2018. Results: one hundred pancreatectomies were performed due to incidental lesions; 64 (64%) were solid and 36 (36%) were cystic lesions. The cytological analysis agreed with the diagnosis in 67/71 (88.7%) cases. Thirty-six tumors were cystic, 48 were neuroendocrine and 16 were adenocarcinomas. Disease-free survival for patients with cystic, neuroendocrine tumors and adenocarcinomas was 100%, 79% and 57.7% (p < 0.04). Conclusion: pancreatic incidentalomas have a heterogeneous phenotype and should be treated in experienced centers

Referencias bibliográficas

  • 1. Bouquot M, Gaujoux S, Cauchy F, et al. Pancreatectomy for pancreatic incidentaloma: What are the risks? Pancreatology 2018;18:114�121. Available at: http://linkinghub.elsevier.com/retrieve/pii/S1424390317308748. Accessed June 5, 2018.
  • 2. Lariño-Noia J, de la Iglesia D, Iglesias-García J, et al. Endoscopic ultrasound cytologic brushing vs endoscopic ultrasound - fine needle aspiration for cytological diagnosis of cystic pancreatic lesions. A multicenter, randomized open-label trial. Rev. Esp. Enferm. Dig. 2018;110:478�484. Available at: https://online.reed.es/fichaArticulo.aspx?iarf=685765748238-414277195163. Accessed June 24, 2019.
  • 10.1097/SLA.0b013e3181724e4a
  • 4. Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann. Surg. 2004;240:205�213.
  • 10.1007/s00428-010-0924-6
  • 6. Compton CC, Byrd DR, Garcia-Aguilar J, et al. AJCC Cancer Staging Atlas. 2 2013. New York, NY: Springer New York; 2012. Available at: http://link.springer.com/book/10.1007/978-1-4614-2080-4.
  • 7. Basturk O, Hong S-M, Wood LD, et al. A Revised Classification System and Recommendations From the Baltimore Consensus Meeting for Neoplastic Precursor Lesions in the Pancreas. Am. J. Surg. Pathol. 2015;39:1730�41. Available at: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00000478-201512000-00016. Accessed November 15, 2017.
  • 8. Hurtado Pardo L, Cienfuegos JA, Antoñanzas J, et al. Cystic tumors of the pancreas. An update of the surgical experience in a single institution. Rev. Esp. Enferm. Dig. 2018;111. Available at: https://online.reed.es/fichaArticulo.aspx?iarf=685769748237-414270190162. Accessed December 7, 2018.
  • 9. Lahat G, Ben Haim M, Nachmany I, et al. Pancreatic incidentalomas: high rate of potentially malignant tumors. J. Am. Coll. Surg. 2009;209:313�9. Available at: http://linkinghub.elsevier.com/retrieve/pii/S1072751509004943. Accessed November 8, 2018.
  • 10. Bose D, Tamm E, Liu J, et al. Multidisciplinary management strategy for incidental cystic lesions of the pancreas. J. Am. Coll. Surg. 2010;211:205�15. Available at: http://linkinghub.elsevier.com/retrieve/pii/S1072751510002760. Accessed May 27, 2018.
  • 11. Bassi C, Molinari E, Malleo G, et al. Early versus late drain removal after standard pancreatic resections: results of a prospective randomized trial. Ann. Surg. 2010;252:207�14. Available at: https://insights.ovid.com/crossref?an=00000658-201008000-00001. Accessed June 25, 2019.
  • 12. Takeda Y, Saiura A, Takahashi Y, et al. Asymptomatic Pancreatic Cancer: Does Incidental Detection Impact Long-Term Outcomes? J. Gastrointest. Surg. 2017;21:1287�1295. Available at: http://link.springer.com/10.1007/s11605-017-3421-2. Accessed September 3, 2018.
  • 10.1016/j.surg.2013.08.007
  • 10.1016/j.surg.2013.08.002
  • 15. Nagtegaal ID, Allgood PC, Duffy SW, et al. Prognosis and pathology of screen-detected carcinomas: how different are they? Cancer 2011;117:1360�8. Available at: http://doi.wiley.com/10.1002/cncr.25613. Accessed January 4, 2018.