PREVALÊNCIA DE LESÕES CÍSTICAS PANCREÁTICAS INCIDENTAIS EM EXAMES DE IMAGEM
Palavras-chave:
pâncreas, cisto pancreático, neoplasias pancreáticasResumo
O objetivo deste estudo foi analisar a prevalência de lesões císticas incidentais do pâncreas visualizadas em exames de tomografia computadorizada e ressonância magnética. Realizado estudo observacional transversal, incluindo 875 exames de tomografia computadorizada e ressonância magnética abdominais. Foram revisados os dados demográficos disponíveis nos prontuários e as imagens de todos os pacientes incluídos no estudo. Verificou-se a presença de cistos em 2,4% pacientes, com maior prevalência em pacientes acima de 60 anos (4,5%). A ressonância magnética identificou cistos pancreáticos em 2,9% dos casos e a tomografia computadorizada em 1,9%. Houve predomínio de pacientes com cistos únicos, localizados na cabeça ou corpo do pâncreas, medindo entre 11 e 30 mm, sem dilatação ductal ou componente sólido associado.
Referências
-Duell EJ, Lucenteforte E, Olson SH, et al. Pancreatitis and pancreatic cancer risk: a pooled analysis in the International Pancreatic Cancer Case-Control Consortium (PanC4). Ann Oncol. 2012;23(11): 2964-2970.
-Roggin KK, Chennat J, Oto A, et al. Pancreatic cystic neoplasm. Curr Probl Surg. 2010; 47(6): 459-510.
-Spinelli KS, Fromwiller TE, Daniel RA, et al. Cystic pancreatic neoplasms: observe or operate. Ann Surg. 2004;239(5): 651-659.
-Costa-Neto GD, Amico EC, Costa GID, et al. Solid-pseudopapillary tumor of the pancreas: report of four cases. Arq Gastroenterol. 2004;41(4): 259-262.
-Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, et al. Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer. 2013;49(6): 1374-1403.
-Laffan TA, Horton KM, Klein AP. Prevalence of unsuspected pancreatic cysts on MDCT. AJR Am J Roentgenol. 2008;191(3): 802-807.
-Gardner TB, Glass LM, Smith KD, et al. Pancreatic cyst prevalence and the risk of mucin-producing adenocarcinoma in US adults. Am J Gastroenterol. 2013;108(10): 1546-1550.
-Stapley S, Peters TJ, Neal RD, et al. The risk of pancreatic cancer in symptomatic patients in primary care: a large case-control study using electronic records. Br J Cancer. 2012;106(12): 1940-1944.
-Scheiman JM, Hwang JH, Moayyedi P. American gastroenterological association technical review on the diagnosis and management of asymptomatic neoplastic pancreatic cysts. Gastroenterology. 2015;148(4): 824-848.
-Lee KS, Sekhar A, Rofsky NM, et al. Prevalence of incidental pancreatic cysts in the adult population on MR imaging. Am J Gastroenterol. 2010;105(9): 2079-2084.
-Minami M, Itai Y, Ohtomo K, et al. Cystic neoplasms of the pancreas: comparison of MR imaging with CT. Radiology. 1989;171(1): 53-56.
-Vege SS, Ziring B, Jain R, et al. American gastroenterological association institute guideline on the diagnosis and management of asymptomatic neoplastic pancreatic cysts. Gastroenterology. 2015;148(4): 819-822.
-Matsubara S, Tada M, Akahane M, et al. Incidental pancreatic cysts found by magnetic resonance imaging and their relationship with pancreatic cancer. Pancreas. 2012;41(8): 1241-1246.
-Klibansky DA, Reid-Lombardo KM, Gordon SR, et al. The clinical relevance of the increasing incidence of intraductal papillary mucinous neoplasm. Clin Gastroenterol Hepatol. 2012;10(5): 555-558.
-Ardengh JC, Goldman SM, Lima-Filho ER. Current role of imaging methods in the diagnosis of cystic solid pancreas neoplasms: part II." Rev Col Bras Cir. 2011;38(3): 192-197.
-Kucera JN, Kucera S, Perrin SD, et al. Cystic lesions of the pancreas: radiologic-endosonographic correlation. Radiographics. 2012;32(7): E283-301.
-Chernyak V, Flusberg M, Haramati LB, et al. Incidental pancreatic cystic lesions: is there a relationship with the development of pancreatic adenocarcinoma and all-cause mortality? Radiology. 2015;274(1): 161-169.
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Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
