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Rev Esp Enferm Dig. 2019 Dec 27;112. doi: 10.17235/reed.2019.6118/2018. [Epub ahead of print]

Incidental lesions of the pancreas. A clinicopathological study of 100 cases surgically treated.

Author information

1
Cirugía General, Hospital Universitario La Fe, España.
2
Cirugía/ Apoyo Investigación, Clinica Universidad de Navarra, España.
3
Cirugía General, Clínica Universidad de Navarra, España.
4
Radiología, Clinica Universidad de Navarra, España.
5
Cirugía General y del Aparato Digestivo, Clínica Universidad de Navarra, España.
6
Cirugía General y Digestiva, Clínica Universidad de Navarra, España.
7
Anatomía Patológica, Clínica Universidad de Navarra, España.
8
Gastroenterología. Unidad de Endoscopia, Clínica Universidad de Navarra.

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.

PMID:
31880162
DOI:
10.17235/reed.2019.6118/2018
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