Aims and objectives
Pancreatic cancers are often an aggressive type of malignancy considered to be one of the leading causes of death among patients diagnosed with various types of cancer [1,
2].
Unfortunately,
patients with pancreatic head cancers are usually diagnosed in advanced stages when they present cholestatic jaundice,
a dilated Wirsung duct and/or a dilated common bile duct (CBD).
The main purpose of our study was to determine whether or not tumor dimensions influence the diameters of the CBD and Wirsung duct.
Methods and materials
The study group included 32 patients (19 males,
13 females) diagnosed with pancreatic head cancers who were hospitalized in the Surgery Department of the County Clinical Emergency Hospital of Craiova during october 2016 – october 2018.
The Pathology Department of the County Clinical Emergency Hospital of Craiova examined the resection pieces.
All patients agreed to take part in this study.
Initially,
all patients underwent an abdominal ultrasonography (US),
followed by an abdominal computed tomography (CT) scan and an abdominal magnetic resonance imaging (MRI) with magnetic...
Results
Regarding tumor dimensions,
19 (59.38%) were ≥30mm,
while 13 (40.62%) were <30mm.
The most common histological type encountered in our study that included patients with pancreatic head cancers was adenocarcinoma (81.25% - 26 patients),
followed by acinar cell carcinoma (9.375% - 3 patients) [Figure 1].
The mean age of the patients included in our study was 63.46 years and ranged between 51 and 78 years [Figure 2].
The mean pancreatic head tumor size was 33.53mm,
ranging between 22mm and 52mm.
Moreover,
the mean diameter of...
Conclusion
In conclusion,
our study revealed a significant association between tumor dimensions and the diameter of the Wirsung duct.
Personal information
Florescu Lucian Mihai
Resident doctor in my 3rd year of practice
County Clinical Emergency Hospital of Craiova
e-mail:
[email protected]
References
1.
Vincent A,
Herman J,
Schulick R,
Hruban RH,
Goggins M.
Pancreatic cancer.
Lancet,
2011,
378(9791):607-620.
2.
Ilic M,
Ilic I.
Epidemiology of pancreatic cancer.
World J Gastroenterol,
2016,
22(44):9694-9705.
3.
Tanaka S,
Nakao M,
Ioka T,
Takakura R,
Takano Y,
Tsukuma H,
Uehara H,
Suzuki R,
Fukuda J.
Slight dilatation of the main pancreatic duct and presence of pancreatic cysts as predictive signs of pancreatic cancer: a prospective study.
Radiology,
2010,
254(3):965-972.
4.
Florescu LM,
Gheonea IA,
Lapadat AM,
Florescu MM,
Florescu A,
Ciurea...