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Cystic Tumors Of Pancreas: Diagnostic And Therapeutic

Cystic tumors of the pancreas arise problems preoperative diagnosis. Now this is the diagnostic certainty that determines surgical indications. Aim: To report our support diagnosis and treatment of these tumors. Patients and methods: it is a retrospective study of six patients with a mean age of 32 years with extremes of 22 and 61 years. The parameters studied were the diagnostic and therapeutic data. Results: The reason for consultation was a mass of epigastric or left upper quadrant in 3 cases and abdominal pain in 3 cases. The tumor marker Ca19.9 was normal in 2 cases and the ACE marker slightly elevated in 1 case. The scanner evoked a cystic mass in the tail of the pancreas in 5 cases and magnetic resonance imaging (MRI) intrapapillary mucinous tumor of the pancreas probably degenerate of the pancreas’s head in 1 case. Preoperative presumptive diagnosis was mucinous cystadenoma in 3 cases, a solid pseudopapillary tumor in 1 case, an degenerated in 1 case and a false cyst of the pancreas in 1 case. The surgical exploration showed 5 cases of tumor developed at the expense of the tail and 1 case at the expense of the pancreatic head, peripheral lymph nodes were found in 2 cases. We performed a caudal pancreatectomy (CP) in 4 cases whose 1 case after a cyst-jejunal bypass first, cephalic duodeno-pancreatectomy (CDP) in 1 case and surgical abstention with lymph node biopsy in 1 case. Adjuvant chemotherapy was associated in 1 case. The histology of surgical specimens found 1 case of mucinous cystadenoma, 1 case of solid pseudopapillary tumor of the pancreas and 1 case of IPMT degenerated into adenocarcinoma. The postoperative course was uneventful. Conclusion: The diagnostic certainty of cystic tumors of the pancreas is necessary to allow a conservative or radical gesture. In our context, the preoperative diagnosis is difficult. Scanner, MRI and tumor markers intra cystic can help in the diagnosis.

Auteur(s) : M Seck, M Cissé, M Diao, A Touré, I Konaté, O Ka, M Dieng, C Touré
Année de publication : 2014
Type : Article
Mise en ligne par : SECK Mamadou