Neoplasia sólida pseudopapilar de páncreas: una serie de cinco casos y revisión de la literatura

Autores/as

DOI:

https://doi.org/10.22516/25007440.840

Palabras clave:

Páncreas, sólido, pseudopapilar, neoplasia, tumor

Resumen

Introducción: las neoplasias sólidas pseudopapilares de páncreas representan alrededor del 3% de los tumores pancreáticos quísticos resecados. Se presentan con mayor frecuencia en mujeres jóvenes entre la segunda y tercera décadas de la vida. Es un tumor con poco potencial maligno que se ubica principalmente en la cola; sin embargo, puede encontrarse en cualquier localización anatómica pancreática.

Métodos: se presentan 5 casos de cuatro mujeres y un hombre, entre 16 y 36 años, que consultaron principalmente por dolor abdominal.

Resultados: cuatro pacientes fueron llevados a pancreatectomía distal sin esplenectomía por laparoscopia, y una paciente a pancreatoduodenectomía por laparotomía. Se logró extraer por completo y satisfactoriamente el tumor a los cinco pacientes. No se evidenció metástasis. Los tumores se localizaron en la cabeza (1), cuello (1) y predominantemente en cuerpo y cola (3). El reporte histopatológico posoperatorio confirmó el diagnóstico en los cinco casos, en la paciente más joven se había realizado una biopsia percutánea previa a la intervención quirúrgica.

Conclusiones: la resección quirúrgica completa del tumor con preservación del bazo es el tratamiento de elección en pacientes con neoplasia sólida pseudopapilar de páncreas.

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Biografía del autor/a

Oscar Padrón-Pardo, Clínica Universitaria Colombia

Cirujano hepatobiliar y pancreático. Hospital de la samaritana, Bogotá. Clínica Marly – Chía. Clínica Reina Sofía. Bogotá, Colombia

William Salamanca-Chaparro, Clínica Universitaria Colombia

Cirujano general. Hospital Universitario de la Samaritana, Clínica Medical SAS. Bogotá, Colombia

Víctor González-Salebe, Clínica Universitaria Colombia

Médico patólogo, Universidad Militar Nueva Granada. Bogotá, Colombia.

Pablo Gutiérrez-Arias, Fundación Universitaria Sanitas

Residente de cuarto año de cirugía general, Clínica Santa María del Lago. Bogotá, Colombia

Juan Ramírez-Moreno, Fundación Universitaria Sanitas

Estudiante de octavo semestre de medicina. Bogotá, Colombia

Adán Lúquez-Mindiola, Centro de Enfermedades Digestivas,  GutMedica

Gastroenterólogo, Universidad Nacional de Colombia. Centro de Enfermedades Digestivas,  GutMedica. Bogotá, Colombia

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Figura 1. Tumor en el cuello del páncreas. Fuente: archivo de los autores

Publicado

2022-12-21

Cómo citar

Padrón Pardo, O. L., Salamanca Chaparro, W. H., González Salebe, V. M., Gutierrez Arias, P. C., Ramírez Moreno, J. S., & Lúquez Mindiola, A. J. (2022). Neoplasia sólida pseudopapilar de páncreas: una serie de cinco casos y revisión de la literatura. Revista Colombiana De Gastroenterología, 37(4), 466–477. https://doi.org/10.22516/25007440.840

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