Introduction:

Pancreatic cystic neoplasms (PCN) originate from various glandular components; these are infrequent lesions that manifest as chronic and non-specific abdominal pain and are under diagnosed. Their knowledge must be diffused on the basis that each histological strain presents different biological behavior and it progresses to invasive carcinoma; its diagnosis and therapeutics in the early stages are critical. A retrospective analysis of patients with PCN treated at the hepatobiliary pathology clinic was carried out at the General Hospital of Mexico.

Material and methods:

A retrospective, descriptive and cross-sectional study was carried out from January 2004 to December 2014, in which we analyzed the demographic and clinical characteristics of the patients with a diagnosis of PCN, who were treated by surgical resection; the results were expressed through measures of central tendency and percentages.

Results:

A total of 18 cases, all of them female, with a frequency of two cases per year and a mean age of 38 years. The most frequently performed surgery was distal pancreatectomy and, secondly, pancreatoduodenectomy, with a morbidity of 39% and a mortality of 6%. Histopathological diagnoses were mucinous cystic neoplasm 33%, solid cystic neoplasm pseudopapillary mucinous 33%, serous cystic neoplasm 22%, neuroendocrine carcinoma with cystic degeneration 6%, and lymphoepithelial cyst 6%. Overall survival at five years was 83%.

Discussion:

PCN is a diagnostic and therapeutic challenge. In our setting, surgical treatment was curative in 83% of cases. The care of patients with PCN should be carried out in specialized units in hepatobiliary pathology, since it favors better results.

        · resumo em Espanhol     · texto em Espanhol     · Espanhol ( pdf )