RESUMEN
Non-ductal pancreatic neoplasm (NPN) represents a heterogeneous group of pancreatic masses, in which diagnosis and management remain challenging due to their overall rarity. Knowledge of their radiologic features is essential for differential diagnosis and to guide clinical decisions for optimal management. The purpose of this paper was to present radiological patterns of these rare pancreatic tumors, solid or predominantly solid, with emphasis in the differential diagnosis and surgical management.
Asunto(s)
Carcinoma/diagnóstico por imagen , Cistadenoma Seroso/diagnóstico por imagen , Lipoma/diagnóstico por imagen , Neurilemoma/diagnóstico por imagen , Tumores Neuroendocrinos/diagnóstico por imagen , Neoplasias Pancreáticas/diagnóstico por imagen , Carcinoma/patología , Cistadenoma Seroso/patología , Diagnóstico Diferencial , Humanos , Lipoma/patología , Neurilemoma/patología , Tumores Neuroendocrinos/patología , Neoplasias Pancreáticas/patología , Radiografía , Tomografía Computarizada por Rayos XRESUMEN
Paracoccidioidomycosis is a granulomatous systemic mycosis that is endemic in Latin America; it is an extremely rare infection following solid organ transplantation. In this study, we describe the first report of disseminated paracoccidioidomycosis in a 3-year-old girl who underwent liver transplantation 2 years previously. The radiologic diagnosis and patient follow-up are described. In addition, we review the clinical evolution and treatment regimens for this infection.
Asunto(s)
Trasplante de Hígado/efectos adversos , Paracoccidioidomicosis/diagnóstico , Antifúngicos/uso terapéutico , Biopsia , Preescolar , Femenino , Humanos , Paracoccidioidomicosis/tratamiento farmacológico , Tomografía Computarizada por Rayos XRESUMEN
ABSTRACT Paracoccidioidomycosis is a granulomatous systemic mycosis that is endemic in Latin America; it is an extremely rare infection following solid organ transplantation. In this study, we describe the first report of disseminated paracoccidioidomycosis in a 3-year-old girl who underwent liver transplantation 2 years previously. The radiologic diagnosis and patient follow-up are described. In addition, we review the clinical evolution and treatment regimens for this infection.
Asunto(s)
Humanos , Femenino , Preescolar , Paracoccidioidomicosis/diagnóstico , Trasplante de Hígado/efectos adversos , Paracoccidioidomicosis/tratamiento farmacológico , Biopsia , Tomografía Computarizada por Rayos X , Antifúngicos/uso terapéuticoRESUMEN
Cystic neoplasms account for approximately 10-20% of all pancreatic cysts and 1% of pancreatic cancers. Serous cystadenomas are considered benign tumors with almost no malignant potential, and thus the management is typically only observation with serial imaging. According to the current World Health Organization classification, cases with distant metastases are defined as serous cystadenocarcinomas. To date, only 17 such cases with concomitant synchronous or metachronous liver metastasis have been described in the literature, and eight of these reports described treatment of secondary liver lesions. This report describes the first case of synchronous resection of pancreatic serous cystadenocarcinoma and liver metastasis in a 56-year-old female patient. The patient is currently well after 30 months of follow-up with no tumor recurrence or new metastatic liver nodules based on magnetic resonance imaging.