Tumores císticos pancreáticos

Autores/as

  • Mauricio Kazuyoshi Minata Pontificia Universidade Católica de São Paulo
  • Tassia Sabbadin Mancilha Pontificia Universidade Católica de São Paulo
  • Ronaldo Antonio Borghesi Pontificia Universidade Católica de São Paulo

Palabras clave:

cisto pancreático, neoplasias pancreáticas, neoplasias císticas, mucinosas e serosas

Resumen

Tumores císticos pancreáticos apresentam uma baixa incidência na população, entretanto, correspondem a um grande número de indicações de ressecções pancreáticas. Segundo classificação da World Health Organization (WHO), podemos dividi-los em quatro grupos: tumor cístico seroso, tumor cístico mucinoso, tumor mucinoso papilar intraductal (IPMN), tumor sólido pseudopapilar. Há uma diferença de comportamento e risco de malignização para cada tipo de tumor. O grande questionamento feito pelo cirurgião é de como proceder após a detecção da lesão cística pancreática. Apresentamos uma revisão da literatura sobre tumores císticos pancreáticos e a conduta baseada em guidelines publicados.

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Biografía del autor/a

Mauricio Kazuyoshi Minata, Pontificia Universidade Católica de São Paulo

Médico residente de cirurgia geral – FCMS/PUC-SP

Tassia Sabbadin Mancilha, Pontificia Universidade Católica de São Paulo

Acadêmica do curso de medicina – FCMS/PUC-SP

Ronaldo Antonio Borghesi, Pontificia Universidade Católica de São Paulo

Professor da disciplina de cirurgia geral – FCMS/PUC-SP

Citas

Spinelli KS, Fromwiller TE, Daniel RA, Kiely JM, Nakeeb A, Komorowski RA, et al. Cystic pancreatic neoplasms: observe or operate. Ann Surg. 2004;239(5):651–9.

Kloppel G, Kasmahl M. Cystic lesions and neoplasms of the pancreas. The features are becoming clearer. Pancreatology. 2001;1(6):648-55.

Brugge WR, Lauwers GY, Sahani D, Fernanderz-del Castilho C, Warshaw A L. Cystic neoplasms of the pancreas. N Engl J Med. 2004;351(12):1218-26.

Ferrone CR, Correa-Gallego C, Warshaw AL, Brugge WR, Forcione DF, Thayer SP, et al. Current trends in pancreatic cystic neoplasms. Arch Surg. 2009;144(5):448–54.

Mortenson MM, Katz MH, Tamm EP, Bhutani MS, Wang H, Evans DB, Flening JB. Current diagnosis and management of unusual pancreatic tumors. Am J Surg. 2008;196(1):100-13.

Kloppel GSE, Longnecker DS, Capella C, Sobin LH. Histological typing of tumors of the exocrine pancreas. World Health Organization International Histological Classification of Tumors. Berlin: Springer-Verlag; 1996.

Society for Surgery of the Alimentary Tract. SSAT patient care guidelines. Cystic neoplasms of the pancreas. J Gastrointest Surg. 2007;11(9):1225-7.

Fernandez-del Castillo C, Warshaw AL. Cystic tumors of the pancreas. Surg Clin North Am. 1995;75:1001-16.

Sarr MG, Murr M, Smyrk T, Yeo CJ, Fernandez-Del-Castillo C, Hawes RH, et al. Primary cystic neoplasms of the pancreas: neoplastic disorders of emerging importance current state of the art and unanswered questions. J Gastrointest Surg. 2003;7:417-28.

Calan L, Levard H, Hennet H, Fingerhut A. Pancreatic cystadenoma and cystadenocarcinoma: diagnostic value of preoperative morphological investigations. Eur J Surg. 1995;161:35-40.

Hutchins GF, Draganov PV. Cystic neoplasms of the pancreas: a diagnostic challenge. World J Gastroenterol. 2009;15(1):48- 54.

Kawamoto S, Horton KM, Lawler LP, Hruban RH, Fishman EK, et al. Intraductal papillary mucinous neoplasm of the pancreas: can benign lesions be differentiated from malignant lesions with multidetector CT? Radiographics. 2005;25:1451–68.

Sahani D, Prasad S, Saini S, Mueller P. Cystic pancreatic neoplasms evaluation by CT and magnetic resonance chol angiopancreatography. Gastrointest Endosc Clin N Am. 2002;12:657-72.

Khalid A, Brugge W. ACG Practice Guidelines for the Diagnosis and Management of Neoplastic Pancreatic Cysts. Am J Gastroenterol. 2007;102:2339-49.

Crippa S, Salvia R, Warshaw AL, Domínguez I, Bassi C, Falconi M, et al. Mucinous cystic neoplasm of the pancreas is not an aggressive entity: lessons from 163 resected patients. Ann Surg. 2008;247:571-9.

Yamao K, Yanagisawa A, Takahashi K, Kimura W, Doi R, Fukushima N, et al. Clinicopathological features and prognosis of mucinous cystic neoplasm with ovarian type stroma: a multi-institutional study of the Japan Pancreas Society. Pancreas. 2011;40:67–71.

Le Baleur Y, Couvelard A, Vullierme MP, Sauvanet A, Hammel P, Rebours V, et al. Mucinous cystic neoplasms of the pancreas: definition of preoperative imaging criteria for high- risk lesions. Pancreatology. 2011;11:495-9.

Galanis C, Zamani A, Cameron JL, Campbell KA, Lillemoe KD, Caparrelli D, et al. Resected serous cystic neoplasms of the pancreas: a review of 158 patients with recommendations for treatment. J Gastrointest Surg. 2007;11:820-6.

Le Borgne J, Calan L, Partensky C. Cystadenomas and cystadenocarcinomas of the pancreas: a multiinstitutional restrospective study of 398 cases. Ann Surg. 1999;230:152-61.

Bassi C, Salvia R, Molinari E, Biasutti C, Falconi M, Pederzoli P, et al. Management of 100 consecutive cases of pancreatic serous cystadenoma: wait for symptoms and see at imaging or vice versa? World J Surg. 2003;27:319-23.

Hochwald SN, Rofsky NM, Dobryansky M, Shamamian P, Marcus SG, et al. Magnetic resonance imaging with magnetic resonance cholangiopancreatography accurately predicts resectability of pancreatic carcinoma. J Gastrointest Surg. 1999;3:506–511.

Malleo G, Bassi C, Rossini R, Manfredi R, Butturini G, Massignani M, et al. Growth pattern of serous cystic neoplasms of the pancreas: observational study with longterm magnetic resonance surveillance and recommendations for treatment. Gut. 2012;61:746-51.

Reddy S, Cameron JL, Scudiere J, Hruban RH, Fishman EK, Ahuja N, et al. Surgical management of solid-pseudopapillary neoplasms of the pancreas (Frantz or Hamoudi tumors): a single-institutional series. J Am Coll Surg. 2009;208:950-9.

Butte JM, Brennan MF, Gonen M, Tang LH, D'Angelica MI, Fong Y, et al. Solid pseudopapillary tumors of the pancreas. Clinical features, surgical outcomes, and long-term survival in 45 consecutive patients from a single center. J Gastrointest Surg. 2011;15:350-7.

Roggin KK, Chennat J, Oto A, Noffsinger A, Briggs A, Matthews JB. Pancreatic cystic neoplasm. Curr Probl Surg. 2010;47(6):459-510.

Kay W. Solid-pseudopapillary tumor of the pancreas: challenges presented by an unusual pancreatic neoplasm. Ann Surg Oncol. 2002;9:3-4.

Vollmer CM Jr, Dixon E, Grant DR. Management of a solid pseudopapillary tumor of the pancreas with liver metastases. HPB (Oxford). 2003;5:264-7.

Horisawa M, Niinomi N, Sato T, Yokoi S, Oda K, Ichikawa M, et al. Frantz tumor (solid and cystic tumor of the pancreas) with liver metastasis: successful treatment and long-term follow-up. J Pediatr Surg. 1995;30:724-6.

Adsay NV, Fukushima N, Furukawa T, Hruban RH, Klimstra JDS. Intraductal neoplasms of the pancreas. In: Bosman FT, Carneiro F, Hruban RH, Theise ND. World Health Organization Classification of Tumours of the Digestive System. 4th ed. Lyon: IARC; 2010. p. 304-13.

Sohn TA, Yeo CJ, Cameron JL, Hruban RH, Fukushima N, Campbell KA, et al. Intraductal papillary mucinous neoplasms of the pancreas: an updated experience. Ann Surg. 2004;239(6):788-97.

Campbell F, Azadeh B. Cystic neoplasms of the exocrine pancreas. Histopathology. 2008;52(5):539-51.

Tanaka M, Chari S, Adsay V, Fernandez-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.

Tanaka M, Fernandez-del Castillo C, Adsay V, Chari S, Falconi M, Jang JY, et al. International consensus guidelines 2012 for the management of IPMN and MCN of the pancreas. Pancreatology. 2012;12:183-97.

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Publicado

2015-12-11

Cómo citar

1.
Minata MK, Mancilha TS, Borghesi RA. Tumores císticos pancreáticos. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 11 de diciembre de 2015 [citado 17 de julio de 2024];17(4):185-7. Disponible en: https://revistas.pucsp.br/index.php/RFCMS/article/view/22043

Número

Vol. 17 Núm. 4 (2015)

Sección

Revisão

Licencia

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