Abstract
ABSTRACT - BACKGROUND:Many patients with serous cystadenoma of the pancreas (SCP) underwent surgery due to diagnostic doubt.AIM: The aim of this study was to analyze the causes of low accuracy in diagnosing SCP.METHODS: This is a retrospective study of patients with SCP from a database of two hepatopancreatic biliary surgery outpatient clinics between 2006 and 2020. Patients with typical SCP lesions in imaging exams (e.g., tomography, magnetic resonance imaging [MRI], and endoscopic ultrasound [EUS]) and patients whose pathological testing confirmed this diagnosis were included.RESULTS: A total of 27 patients were included in this study. Most patients were women (85.18%), and the mean age was 63.4 years. Only one patient had typical pancreatitis symptoms. MRI was the most performed method (62.9%). The lesion was single in 88.9%, and the average size was 4 cm. The typical microcystic aspect was found in 66.6%. EUS was performed in 29.6% of cases. The mean carcinoembryonic antigen value in patients undergoing cyst puncture was 198.25 ng/mL. Surgical treatment was performed in 10 cases (37%). The cause of surgery in seven of these cases was due to a suspicion of mucinous cystadenoma based on an identification of atypical lesions (unilocular with or without septa and macrocystic) in imaging exams. A suspicion of intraductal papillary mucinous neoplasm with “worrying factors” was the indication for surgery in two cases. The last case underwent surgical treatment for a solid-looking lesion which was suspected of cancer. The complication rate ≥Clavien-Dindo 2 was 30%, and the clinically relevant pancreatic fistula rate (B and C) was 30%. Mortality was nil.CONCLUSION: The atypical morphological presentation of SCP, particularly unilocular and macrocystic lesions, is the main indication for surgery. Only the implementation of new, efficient, and reproducible diagnostic methods can reduce the number of unnecessary surgeries among these patients.
Highlights
Os pacientes foram diagnosticados com Cistoadenoma Seroso (CAS) e, portanto, incluídos caso apresentassem uma das seguintes condições: 1) CAS típico aos exames de tomografia computadorizada, ressonância magnética (RM) ou ecoendoscopia (EE)
Nosso estudo tem algumas limitações: 1) O número de pacientes incluídos é pequeno; 2) Trata-se de uma série de pacientes extraídos de ambulatórios de cirurgia e por esse motivo se espera que naturalmente haja um viés de seleção de casos de diagnóstico difícil e; 3) A EE foi realizada em pouco menos de 30% dos casos
Summary
22D002O21I1;:3;h34t4(t2(p4)s:)e::/e1/15d68o41i0.org/10.1590/0102-672020210002e1581 DhOttIp: sh:t/t/pdso:/i./odrogi/.o1r0g.1/1509.01/509100/20-160722-062702201200020120e010624e01581 A QUEDA DA PRESSÃO PORTAL APÓS DESVASCULARIZAÇÃO ACESIQSOTUFOEADAGDAOEDGNAÁOSPMTRRAEISCSSAEÃREOESPSOOPLDRETENAPELÂCANTPOCÓRMSEIAADSEI.NSPVFOALRUSCEQNUULCEAIARIAZAVAÇÃROIAÇÃO EADSOOACFCAUAGRLOÁIBGCRIÁEASDÉTARBSIACVIAXAAEREAIZSOEPSSLEEENXAAESCMTTEAOSXMDAIESAIDIMNEAFRLGEUESEMSNA?CNIAGRAAVMAERNIATÇOÃNOA DSEEOSROQUCUSACILSYSITTBAORDSEENSODOMAMASOOFVPSAAENRCNIRZEOAESS:SWEEHGYAUTSHIEMTRAEEIXSNLAOTWSOADCEECMURRALECOSYSNINAGIMNOAGGIPNRRGAAEMXZAMEOSN??TO NA EESnioQCUamISpoTsOAMSSICOO1M, COaioSTEraNjanOo SSiqEueGiraUSIAMLGEANDOT1O, LuEisMa MLaOcieNl EMGEOREPNCRIAANZOO1 ,? GDuoielhsetrhmeedAroupguinstpooSrtaanltopsreFsEsuRrReEaIRftAerFeILsoHpOh1ag,oJogsaestRriocbdeervtoasAcuLVlaErSiz1at,ion and splenectomy influence the DLvouaeirzisaEtdhiouenadrordofopvOainrlicvpeoairrlatcaFalolpirbrtesrFseuarrrneediaratfhtederereeSsbOolpUeheZdaAign1ogg, raJaostseréiscSidnaensvdcahrosicsPutoelasroerimizraaiatdisoainsSiaInLnVldaAts1epfloenlloecwt-oumpy? influence the variation of variceal calibers and the rebleeding rates in schistosomiasis in late follow-up? Walter de Biase SILVA-NETO1 , Claudemiro QUIRESE1 , Eduardo Guimarães Horneaux de MOURA2 , WFaabltreicridoeFBeriareseiraSICLOVAEL-HNOET3O, 1Pa, uClloauHdEeRmMirAoNQ3UIRESE1 , Eduardo Guimarães Horneaux de MOURA2 , FRaEbSfUorMircmOiao–coRFnAeseCrrIrvOeaNdiorAraLa:, CAsipgOensiEfaicrLadtHaivraOepcoa3rmte,endPdoaasçupãaolcoiaetnHutaelEsqcRuoemMoecAsissatNocao3dnednioçãmoaasinerdoaséo odpeevraasdear ptroartaddúoviddea RESdMUiaÉMgTnOOóDstO-icSa:R. EaOsctBuioJdEnoTarIlVe:tOrOo: sAptnercaatltiisavaomrdecenautposoarstdaeddaoerebssaciodxelahcaaisctuporaaárdcaieanpodamiacgaiensnóetsreotisscoacddoeomucmihstibopaaendrcteoennodsmeãdaoasdpeorosorsdtoae.l RESUdeosMqisOuaimst-obusRslaaotcmóiroóiontsiacdale: cOciorumtrrgaiatsaahmnepgearnattomopeadnnectoreeastdicceoolbhvialaiarripzeeansrtareép2a0ac0i6edneete2sc0so2n0c.oeFxmoãroahmiápizenicrgtloueín-dpsoãosorptaaplcoiemrnttaaeliss ecesoqsmpuliesletnoseõscestsoomtmípóiiactiac(sDadAePcoEci)mstaosassdoaencnigaordmaamaàesetnertoroasopdiaaeoesnvedaxoraimzsceeósspdiéceai.amPaodgreeésmmco,(tenosemtxuoãdgoorasáfimzaigocoosmt-rpapomurttaaadulomrmizeaanditsao, erddseipoaslsgeconnanóleâisbcnttirccoeioamd. mRaiasEaS(gvDUanAréLitTPziAceEasD) eaeOmsSes:coao2cle7gianudpdnaaoscsàipceonateptceriiaeas)npfeotiaerpasemadncudiienronacstnleuctsóíedpqooiusc.seae8.og5P,uo1ai8nrmé%amteone,mrteaoomspteuamdtdooolloóssengmxigcoooofspectmorraanimznfioirnm.aoOua. smbAsjeeeidtneiatvsdosoee: dmAovécadaliilaaibrfrooei didmaesp6va3ac,r4tiozaednsoaesmD. AAapPlegEnueansstrupamatacmaiepnernetestesondetuanvrdaaonsstiecnótoopmsiceaogsuptiímópsice-onostpoedereamtpóalroniocnrgenoaotiptceroa. mzAop.RoOersbtsajoemntâievnnocti:oa AmdvaaslgianvréatoriiczaiemsfopeiasocotefoáxagdmiaceaDsmAeaPirsEerceeiadtlriivzaaatadhmoee(m6n2ot,o9r%ráe)gn. idAcoale,scsdãóeoppiecaroaciúpenónistce-aosepemesrq8au8tói,s9rt%ioosesnooomtcaóomtmiacnpohoso.rtMmaméétdeoinodtofoosi: d4Faocsmrva.amOrizaeesspsteuecdstooadftáíopgiscico3am6s iecpraroeccciíesidtnicitvoeasfohcieoemnmcoorsnretárggaudicioma,eemdnet6o6p,a6sc%uipedneotrseiocsraesaosqsc,uoinissctdooesmasonaimossfóo, trdiacimostsrc.iobMnuséíiddtooerdsaodesom:s
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
