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2002, Número 1

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Rev Med Hosp Gen Mex 2002; 65 (1)


Cistadenoma seroso del páncreas (“adenoma microquístico”). Informe de siete casos

Aristi UG, Güereña EA, Ramos CR

Idioma: Español
Referencias bibliográficas: 53
Paginas: 15-22
Archivo PDF: 180.01 Kb.


RESUMEN

Las neoplasias quísticas del páncreas constituyen un grupo importante de tumores pues, aunque no son comunes, tienen una presentación clínica peculiar, un comportamiento relativamente benigno y alta probabilidad de tratamiento quirúrgico exitoso. La distinción entre quistes no neoplásicos y neoplásicos, así como la correcta clasificación entre estos últimos tiene gran importancia clínica. Las neoplasias quísticas más comunes del páncreas son los cistadenomas serosos (38%). Sin embargo, no estamos familiarizados con ellas, lo que impide una evaluación y un diagnóstico preoperatorio adecuados. Se trata de un estudio descriptivo y retrospectivo de un periodo de 10 años (1991-2000), en casos de autopsia y patología quirúrgica. Se informan siete casos de cistadenomas serosos del páncreas. Cinco de ellos corresponden a autopsias y dos a especímenes quirúrgicos. Todos se encontraron en adultos (100%), predominaron en el sexo femenino (71.4%), la mayor parte fueron hallazgos de autopsia (71.4%). Casi todos fueron lesiones únicas (71.4%), excepto dos casos asociados a síndrome de von Hippel-Lindau. En ninguno se efectuó el diagnóstico clínico. Uno de los aspectos más llamativos es la asociación de estas neoplasias con la enfermedad de von Hippel-Lindau. El tratamiento aconsejado es la resección quirúrgica total, que es curativa. El drenaje no es un tratamiento apropiado.


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