tailieunhanh - báo cáo khoa học: "Unusual histological findings after partial pancreaticoduodenectomy including benign multicystic mesothelioma, adenomyoma of the ampulla of Vater, and undifferentiated carcinoma, sarcomatoid variant: a case series"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Unusual histological findings after partial pancreaticoduodenectomy including benign multicystic mesothelioma, adenomyoma of the ampulla of Vater, and undifferentiated carcinoma, sarcomatoid variant: a case series | Lehwald et al. Journal of Medical Case Reports 2010 4 402 http content 4 1 402 JOURNALOF medical LrCASE REPORTS CASE REPORT Open Access Unusual histological findings after partial pancreaticoduodenectomy including benign multicystic mesothelioma adenomyoma of the ampulla of Vater and undifferentiated carcinoma sarcomatoid variant a case series 11 23 1 1 Nadja Lehwald Kenko Cupisti Stephan E Baldus Patric Kropil Jan Schulte am Esch II Claus F Eisenberger Wolfram T Knoefel1 Abstract Introduction The standard operation for carcinoma of the pancreatic head is a partial pancreaticoduodenectomy. Unusual histological findings may occasionally occur in the surgical specimen. We present three unusual histologic diagnoses after pancreaticoduodenectomy. Case presentations In the first case an 86-year-old Caucasian woman was admitted with abdominal pain and nausea. Preoperative evaluation showed a 3 cm cystic lesion in the head of the pancreas. Pathology revealed a benign multicystic mesothelioma. In the second case a 45-year-old Caucasian man complained of nausea vomiting and general malaise for several months. Endoscopic retrograde cholangiopancreatographic examination and a computed tomography scan showed a stenosis of the distal bile duct secondary to a mass in the head of the pancreas and duodenum. Histology showed an adenomyoma of the ampulla. In the third case a 59-year-old Caucasian man presented with chronic alcoholic pancreatitis. A computed tomography scan revealed a cm lesion in the head of the pancreas with cystic and solid components. Pathology showed an undifferentiated carcinoma sarcomatoid variant. Conclusion Partial pancreaticoduodenectomy is usually performed for ductal adenocarcinomas neuroendocrine tumors or chronic pancreatitis. Compared to the majority of the above diagnoses the three cases in our study are very rare. Benign multicystic mesothelioma is a very rare tumor that originates from the peritoneum. Although it .