Características de la neoplasia quística mucinosa del páncreas en pacientes atendidos en un hospital nacional del Perú

Fernando Revoredo-Rego; Gustavo Reaño-Paredes; José de Vinatea-de Cárdenas; José Arenas-Gamio; Luis Villanueva-Alegre; Fritz Kometter-Barrios; Jorge Tang-Sing; Monica Uribe-León; Italo Landeo Aliaga

doi:10.17843/rpmesp.2019.364.4355

Authors

Fernando Revoredo-Rego Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Hospital Nacional Guillermo Almenara. Lima, Perú. Médico Cirujano General
Gustavo Reaño-Paredes Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Hospital Nacional Guillermo Almenara. Lima, Perú. Médico Cirujano General
José de Vinatea-de Cárdenas Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Hospital Nacional Guillermo Almenara. Lima, Perú. Médico Cirujano General
José Arenas-Gamio Servicio de Anatomía Patológica, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú. Médico Anátomo-Patólogo
Luis Villanueva-Alegre Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Hospital Nacional Guillermo Almenara. Lima, Perú. Médico Cirujano General
Fritz Kometter-Barrios Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Hospital Nacional Guillermo Almenara. Lima, Perú. Médico Cirujano General
Jorge Tang-Sing Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Hospital Nacional Guillermo Almenara. Lima, Perú. Médico Cirujano General
Monica Uribe-León Servicio de Cirugía de Páncreas, Bazo y Retroperitoneo, Hospital Nacional Guillermo Almenara. Lima, Perú. Médico Cirujano General
Italo Landeo Aliaga Servicio de Gastroenterología, Hospital Nacional Guillermo Almenara Irigoyen. Lima, Perú. Medico Gastroenterólogo

DOI:

https://doi.org/10.17843/rpmesp.2019.364.4355

Keywords:

Mucinous Cystic Neoplasm, Pancreas

Abstract

In order to analyze the clinical, pathological, and surgical characteristics of pancreatic mucinous cystic neoplasm (MCN), an analysis of the patients from the Pancreas, Spleen, and Retroperitoneal Surgery Service of the Guillermo Almenara Irigoyen National Hospital in Lima, Peru, was performed from January 2009 to October 2018. The presence of ovarian stroma was used as a diagnostic criterion for MCN. From ten patients with an average age of 47.8 years, nine were women; the lesions were located in the distal pancreas, and the average tumor size was 88.6 mm. All patients underwent a distal pancreatectomy, three of which were laparoscopic; there were no reoperations or deaths; two patients had associated invasive carcinoma. In conclusion, the frequency of MCN is higher in middle-aged women, being the location in the distal pancreas and the percentage of malignancy is low. Laparoscopic surgery is a disease management option.