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Titolo:
Characteristics and treatment of mucin-producing tumor of the pancreas
Autore:
Kimura, W; Makuuchi, M; Kuroda, A;
Indirizzi:
Yamagata Univ, Sch Med, Dept Surg 1, Yamagata 9909585, Japan Yamagata Univ Yamagata Japan 9909585 ept Surg 1, Yamagata 9909585, Japan Univ Tokyo, Fac Med, Dept Surg 2, Tokyo 113, Japan Univ Tokyo Tokyo Japan 113 Tokyo, Fac Med, Dept Surg 2, Tokyo 113, Japan Kunaicho Hosp, Tokyo, Japan Kunaicho Hosp Tokyo JapanKunaicho Hosp, Tokyo, Japan
Titolo Testata:
HEPATO-GASTROENTEROLOGY
fascicolo: 24, volume: 45, anno: 1998,
pagine: 2001 - 2008
SICI:
0172-6390(199811/12)45:24<2001:CATOMT>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
DUODENUM-PRESERVING RESECTION; CYSTIC NEOPLASMS; DISTAL PANCREATECTOMY; CYTOLOGIC EXAMINATION; SUBTOTAL RESECTION; SURGICAL ANATOMY; DIAGNOSIS; HEAD; JUICE; CYSTADENOCARCINOMA;
Keywords:
duct cell carcinoma; mucinous cystadenocarcinoma; mucin-producing tumor of the pancreas;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
36
Recensione:
Indirizzi per estratti:
Indirizzo: Kimura, W Yamagatapaniv, Sch Med, Dept Surg 1, 2-2-2 Iida Nishi, Yamagata 9909585, Ja Yamagata Univ 2-2-2 Iida Nishi Yamagata Japan 9909585 09585, Ja
Citazione:
W. Kimura et al., "Characteristics and treatment of mucin-producing tumor of the pancreas", HEP-GASTRO, 45(24), 1998, pp. 2001-2008

Abstract

BACKGROUND/AIMS: There has been no thorough clinicopathological analysis of a large number of cases with mucin-producing tumor of the pancreas. The aim of this study was to investigate the clinicopathological features of andtherapeutic strategy for this ailment. METHODOLOGY: Two hundred and fifty-nine cases of mucin-producing tumor of the pancreas were analyzed clinicopathologically. RESULTS: Mucin-producing tumor of the pancreas was found in 177 males and 82 females (M:F= 2.2:1). The mean age was 65.5 years. Jaundice, diabetes mellitus and a past history of pancreatitis were found in 15-19% of the cases. The tumor was most frequently (62%) found in the head of the pancreas. Pathologically, hyperplasia or adenoma was found in 58 cases, and adenocarcinoma in 160 cases. Five-year survival rate by the Kaplan-Meier method was 82.6% in all of the cases, and the post-operative survival curve was much better in cases with this type of carcinoma than in cases with ordinary pancreatic duct cell carcinoma (5-year survival rate: 17.3%). Organ-function preserving procedures, such as duodenum preserving subtotal resection of the head of the pancreas or spleen preserving distal pancreatectomy, might be recommended for this disease without infiltration. CONCLUSIONS: Mucin-producing tumor has unique clinicopathological characteristics, such as the dilated main pancreatic duct or branches, dilatation of the orifice of the papilla of Vater, or a good prognosis. Organ-function preserving procedures should be recommended in some cases with this ailment.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 18:26:14