Groove Pancreatitis Vs Pancreatic Adenocarcinoma: A Review of 8 Cases

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• 作者：Francisco Sá ; nchez-Bueno^a ; ^{sbuenof@um.es" class="auth_mail" title="E-mail the corresponding author} ; ^{francisco.sanchez26@carm.es" class="auth_mail" title="E-mail the corresponding author} ; Gloria Torres Salmeró ; n^a ; Jesú ; s de la Peñ ; a Moral^b ; Eduardo Ortiz Ruiz^b ; Matilde Fuster Quiñ ; onero^c ; Wilfredo V&iacute ; ctor Gutié ; rrez Zá ; rate^a ; Mar&iacute ; a Antonia Claver Valderas^d ; Pascual Parrilla Paricio^a
• 关键词：Pancreas ; Groove pancreatitis ; Pancreatic cancer ; Pancreatico&ndash ; duodenectomy
• 刊名：Cirugía Española (English Edition)
• 出版年：2016
• 出版时间：June-July 2016
• 年：2016
• 卷：94
• 期：6
• 页码：346-352
• 全文大小：1710 K

文摘

Groove pancreatitis (PS) is an uncommon clinical situation and radiologically it can mimic carcinoma of the periampullary area. The aim of this paper is to study a series of 8 patients who underwent surgery with preoperative diagnosis of pancreatic head mass and subsequent pathological diagnosis of PS.

Methods

In our series, 6 were men and 2 were women, with an average age of 51.9 years. Before surgery, all patients had epigastric abdominal pain requiring analgesia at high doses. The preoperative analytical CEA and Ca 19.9 were normal in all patients. Imaging studies showed intrapancreatic solid lesions in 6 of the 8 patients, and in the remaining 2 one papillary mass of 5 and 6 cm, respectively, that caused stenosis in the duodenal luz. EUS neoplastic cells were negative in all patients.

Results

The immediate postoperative evolution was satisfactory, there are no complications. In our series, no patients have died. The long-term follow-up, in 7 of the 8 patients, has been excellent with disappearance of abdominal pain and improvement of nutritional status. The remaining patient had frequent recurrent episodes of acute pancreatitis, and at 60 months, presented a pseudocyst that has required a Roux-en-Y cystojejunostomy.

Conclusions

PS must be included in the differential diagnosis of pancreatic lesions, which may include carcinoma of the periampullary area and other causes of chronic pancreatitis.