Artigos Nacionais - Resumo

Tumores císticos do pâncreas: estudo de 73 casos.
Autores: Machado, M.C.C.; Machado, M.A.C.; Montagnini, A.L.; Jukemura, J.; Cunha, J.E.M.; Campion, J.P.; Launois, B.
Rev. Bras. Pâncreas, 1(2): 26-30, 1997.

 

 

O objetivo deste estudo retrospectivo é descrever os aspectos clínicos e as opções terapêuticas no tratamento de 73 pacientes portadores de neoplasia cística do pâncreas. O sintoma mais freqüente foi dor abdominal incaracterística, observado em 57% dos pacientes. O tumor cístico de pâncreas foi achado incidental em 25% dos pacientes. Todos os pacientes foram submetidos à intervenção cirúrgica. O diagnóstico histológico foi: 32 pacientes apresentavam cistadenoma seroso, 30 apresentavam diagnóstico de cistadenoma mucinoso e 11 pacientes apresentavam cistadenocarcinoma mucinoso. Não houve mortalidade operatória. Todos os pacientes com cistadenoma seroso ou mucinoso que foram submetidos à ressecção completa da lesão estão vivos ou morreram de outras causas não relacionadas a este tumor. A sobrevida em três anos dos pacientes portadores de cistadenocarcinoma foi de 29%. Somente a ressecção completa da neoplasia cística propicia a melhor chance de cura e impede a degeneração maligna dos cistadenomas, particularmente o tipo mucinoso. Constam do trabalho 3 figuras e 18 referências bibliográficas.

 
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