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Approach pancreatic incidentaloma

Marco Chiarelli, Martino Gerosa, Fulvio Tagliabue, Luca Fumagalli, Angelo Guttadauro, Francesco Gabrielli, Alessandro Marando, Matilde De Simone, Ugo Cioffi
BACKGROUND: The diffusion of cross-sectional imaging has recently permitted the detection of an increasing number of incidentalomas localized in the distal pancreas. Currently, there are no studies in the literature exploring the laparoscopic approach as treatment for left-sided pancreatic incidentalomas. METHODS AND RESULTS: We report a series of 20 incidentalomas localized in the body and tail of the pancreas treated with laparoscopic surgery over the period 2010-2014...
2016: World Journal of Surgical Oncology
Ashish Verma, Sunit Shukla, Nimisha Verma
Periampullary region encircles a radius of 2 cm around the ampulla of Vater; accordingly, four distinct neoplasias with overlapping imaging features originate in the region. Each of these lesions has a different long-term prognosis; hence, imaging evaluation to characterize the lesion is important. Further certain specific features pertaining to the vascular invasion and systemic spread may decide about the treatment as well as surgical approach. An understanding of the advances in imaging and image processing technology as well as in the methods of image acquisition, for the purpose, is quite relevant towards etching out a rational pre-treatment evaluation protocol...
October 2015: Indian Journal of Surgery
T Karatzas, D Dimitroulis, P Charalampoudis, E P Misiakos, I Vasileiadis, G Kouraklis
Incidentally discovered pancreatic lesions that are asymptomatic have become much more common in recent years. It is important to characterize these lesions and to determine which patients can be safely observed and which should undergo an operation, as a substantial proportion of them might be malignant or premalignant. This review focus on the diagnostic approach and management of the different types of cystic and solid incidental pancreatic lesions based on appropriate clinical input, imaging screening and histological criteria...
January 2013: Journal of B.U.ON.: Official Journal of the Balkan Union of Oncology
Petros Charalampoudis, Dimitrios Dimitroulis, Eleftherios Spartalis, Chrysovalantis Vergadis, Anastasios Stofas, Theodore Karatzas
INTRODUCTION: Asymptomatic lesions of the pancreas, referred to as 'incidentalomas', have appeared with increased frequency in recent years. Giant incidentalomas have rarely been reported in the literature. PRESENTATION OF CASE: We report herein a rare case of a giant cystic pancreatic incidentaloma measuring 12.7cm×8cm, which was found in an otherwise healthy male patient during a routine genitourinary imaging work-up. The patient underwent a distal pancreatectomy and splenectomy; the pathology report demonstrated a giant serous cystadenoma of the body and tail of the pancreas...
2012: International Journal of Surgery Case Reports
Xeily Zárate, Nicholas Williams, Miguel F Herrera
Pancreatic incidentalomas are defined as asymptomatic pancreatic lesions, discovered incidentally by imaging for an unrelated indication. They are being discovered with increasing frequency as the use of high quality cross sectional imaging is becoming more widespread. These lesions cover a wide spectrum of pathology from benign simple cysts through potentially malignant lesions such as intraductal papillary mucinous neoplasia, to frankly malignant adenocarcinoma. In this article we outline the incidence, imaging characteristics and natural history of the various incidental lesions with emphasis to neuroendocrine tumors...
February 2012: Best Practice & Research. Clinical Endocrinology & Metabolism
Serkan Yener, Senem Ertilav, Mustafa Secil, Baris Akinci, Tevfik Demir, Abdurrahman Comlekci, Sena Yesil
Patients with extra-adrenal malignancies are diagnosed increasingly with benign adrenal tumors, as well as non-oncology subjects. We aimed to demonstrate the natural course of adrenal adenomas in terms of mass size and hormonal status in oncology and non-oncology subjects. We also compared the characteristics and behavior of adrenal adenomas with adrenal malignancies. In our registry of adrenal tumors (n = 335), we prospectively evaluated 29 oncology subjects (EAM+) and age, gender, and follow-up duration matched 110 non-oncology subjects (EAM-) with adrenal adenomas...
August 2009: Endocrine
Angelo Ambrosio, Matteo Scaramuzzi, Massimo Torlontano, Pierluigi Di Sebastiano
The aim of this study was to present our experience with laparoscopic adrenalectomy. Over the period from January 2000 to January 2007, 60 patients (40 M, 20 F; mean age: 52.5 years; range: 16-77 years) underwent adrenalectomy in our department. Five patients were submitted to bilateral adrenalectomy, thus making a total of 65 cases. The indications were the following: non-secreting masses in 21 cases and secreting masses in 44; 29% were incidentalomas. The operation was performed with a transperitoneal lateral approach...
November 2007: Chirurgia Italiana
M Pross, T Manger, F Heres, S Klose, H Lehnert, K Ridwelski, S Wolff, R Mantke, F Marusch, H Lippert
INTRODUCTION: We report our results of laparoscopic anterior transperitoneal adrenalectomy. PATIENTS: Between 4/1996 to 05/2001, a laparoscopic adrenalectomy was performed in 34 patients (median age 48 years). The adrenalectomy was performed transperitoneally (31 unilateral; 3 bilateral). The adrenaline level was measured in 7 patients with a pheochromocytoma. RESULTS: All tumors (mean size 3.5 cm; 0.4 to 8.0 cm) could be extirpated by laparoscopy...
July 2002: Zentralblatt Für Chirurgie
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