Radical Duodenopancreatectomy for Papilloma of the Pancreatic Duct

Wg, Hendry

doi:10.1136/bmj.2.4788.815

Cited by 13 publications

(1 citation statement)

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“…The intraductal papilloma is a very rare neoplastic lesion. We observed two cases and collected six cases from the literature (Haban 1936, Gourevitch & Whitfield 1952, Hendry 1952, Hienert & Zeitlhofer 1956, Caroli et a]. 1975.…”

Section: Exocrine Pancreatic Turnours 657mentioning

confidence: 99%

Exocrine pancreatic tumours and their histological classification. A study based on 167 autopsy and 97 surgical cases

1983

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Based on histopathological examination of 264 exocrine pancreatic tumours (167 autopsy and 97 surgical) from the files of the Institute of Pathology, University of Hamburg, over a 15-yr period (1966-1980), a histogenetic classification is proposed. In addition to the more common neoplasms this also includes rarer and more recently defined entities. Of the 264 tumours, 250 were of duct origin, 10 acinar and four of uncertain histogenesis. Ductal adenocarcinoma, subdivided into a well-differentiated and a poorly-differentiated type, was most frequent (81.1%), followed by its variants: pleomorphic giant cell carcinoma 5.3%, adenosquamous carcinoma 3.8%, and mucinous carcinoma 1.1%. All these had a poor prognosis. Serous cystadenoma (1.1%), mucinous cystic tumour (1.5%) and intraductal papilloma (0.8%), which were rare tumours and mostly apparent in surgical material, proved to be benign or of only latent malignancy. The group of tumours of acinar cell origin consisted of the solid and cystic tumour (2.7%) with favourable prognosis and the acinar cell carcinoma (1.1%). No pancreatoblastoma was observed. The pleomorphic carcinomas of the small cell type (1.5%) were classed as tumours of uncertain histogenesis.

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Section: Exocrine Pancreatic Turnours 657mentioning

confidence: 99%

Exocrine pancreatic tumours and their histological classification. A study based on 167 autopsy and 97 surgical cases

1983

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Tubular Adenoma of the Main Pancreatic Duct

Shahinian

Sciadini²,

Springer³

et al. 1992

Arch Surg

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We report a case of tubular adenoma of the duct of Wirsung with focal villous changes. To our knowledge, this is the 13th reported case of this uncommon neoplasm and the first with a primarily tubular histologic pattern. The patient presented with abdominal pain and diarrhea and was found on endoscopic retrograde cholangiopancreaticography to have a mass in the head of the pancreas, which was confirmed by endoscopic ultrasound. Clinical and pathological features of the 12 previously reported cases are reviewed. Intraoperative testing failed to rule out adenocarcinoma which, in addition to difficulties presented by local anatomic relationships of the tumor, supports wide surgical resection as the preferred surgical solution.

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Intraductal papillary neoplasms of the pancreas. A clinicopathologic study of six patients

Morohoshi

Kanda

Asanuma

et al. 1989

Cancer

198

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A clinicopathologic study was conducted on six patients with intraductal papillary neoplasms of the pancreas. The patients were of both sexes and their ages ranged from 64 to 79 years. Three patients had a long history of symptoms mimicking chronic pancreatitis. The tumors involved the main pancreatic duct in the head-body region either diffusely or focally. Histologic examination showed papillary proliferations of well-differentiated, mucus-secreting cells that occasionally stained for carcinoembryonic antigen (CEA) and carbohydrate antigen (CA 19-9). The proliferations filled the main pancreatic duct, and extended into smaller ducts in some cases. In three patients, the lesions contained foci of pronounced to severe cellular atypia and carcinoma in situ. None of our series or any similar cases reported in the literature has shown invasion into peripancreatic tissue, metastasis, or tumor recurrence after pancreatectomy. Because of their favorable prognosis, intraductal papillary neoplasms should be considered low-grade malignancies that must not be confused with the common ductal adenocarcinoma.

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Radical Duodenopancreatectomy for Papilloma of the Pancreatic Duct

Cited by 13 publications

References 1 publication

Exocrine pancreatic tumours and their histological classification. A study based on 167 autopsy and 97 surgical cases

Exocrine pancreatic tumours and their histological classification. A study based on 167 autopsy and 97 surgical cases

Tubular Adenoma of the Main Pancreatic Duct

Intraductal papillary neoplasms of the pancreas. A clinicopathologic study of six patients

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