Neuroendocrine cystic carcinoma in the pancreas tail. Asymptomatic

Abstract

Introduction: Pancreatic neuroendocrine neoplasms are second most common neoplasm. Incidence are fewer than 1 per 100 000 individuals per year. 2017 World Health Organisation (WHO) classification: As well-differentiated pancreatic neuroendocrine tumours (PanNETs), poorly differentiated pancreatic neuroendocrine carcinomas (PanNECs) and mixed neuroendocrine-non-neuroendocrine neoplasms (MiNENs) of the pancreas. PanNETs are much more common than PanNECs and present typically in adults between the fifth and sixth decades and may be asyntomatic or syntomatic due to inappropriate hormone secretion. Methods: INCIDENTAL FINDING DURING MAGNETIC RESONANCE A 60-year-old male patient presented with spondylolisthesis and underwent thoracoabdominal magnetic resonance, incidentally finding lumps in the pancreas tail measuring 10X12 centimeters. Laboratory tests and tumor markers were performed in normal range, he was sent to our service. Results: Was performed tail resection of pancreas of 10X12 centimeters, in the postoperative period it presented an acid base imbalance so it is handled in Intensive Care, it evolves favorably and it is discharged from the hospital 4 weeks after the surgery. Pathology report: Tumor in pancreas tail, cystic, well differentiated neuroendocrine, with focal invasion to the capsule and free edges of lesion of low malignant potential. Conclusion:1.Pancreatic neuroendocrine tumors are usually asymptomatic and are diagnosed by incidental findings.2.The success in the postoperative evolution is that they are treated by surgeons who are experts in liver, pancreas and biliary tract surgery.