Year 2020 / Volume 112 / Number 2
Original
Incidental lesions of the pancreas. A clinicopathological study of 100 cases surgically treated

85-89

DOI: 10.17235/reed.2019.6118/2018

Luis Hurtado Pardo, Javier A. Cienfuegos, Javier Antoñanzas, Víctor Valentí, Alberto Benito, Fernando Pardo, Fernando Martínez Regueira, Gabriel Zozaya, Pablo Martí-Cruchaga, María Dolores Lozano, José Carlos Subtil, Fernando Rotellar,

Abstract
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
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References
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.
3. Rotellar F, Pardo F, Montiel C, et al. Totally laparoscopic roux-en-Y duct-to-mucosa pancreaticojejunostomy after middle pancreatectomy: A consecutive nine-case series at a single institution. Ann. Surg. 2008;247.
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.
5. Kloppel G, Rindi G, Perren A, Komminoth P, Klimstra DS. The ENETS and AJCC/UICC TNM classifications of the neuroendocrine tumors of the gastrointestinal tract and the pancreas: a statement. Virchows Arch. 2010;456:595–597.
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.
13. Birnbaum DJ, Gaujoux S, Cherif R, et al. Sporadic nonfunctioning pancreatic neuroendocrine tumors: prognostic significance of incidental diagnosis. Surgery 2014;155:13–21.
14. Crippa S, Partelli S, Zamboni G, et al. Incidental diagnosis as prognostic factor in different tumor stages of nonfunctioning pancreatic endocrine tumors. Surgery 2014;155:145–153.
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.
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Hurtado Pardo L, Cienfuegos J, Antoñanzas J, Valentí V, Benito A, Pardo F, et all. Incidental lesions of the pancreas. A clinicopathological study of 100 cases surgically treated. 6118/2018


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Publication history

Received: 13/12/2018

Accepted: 02/08/2019

Online First: 27/12/2019

Published: 07/02/2020

Article revision time: 227 days

Article Online First time: 379 days

Article editing time: 421 days


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