Neoplastic and inflammatory pancreatic tumors diagnosed in patients hospitalized at the Department of Gastroenterology and Hepatology, Wroclaw Medical University, in years 2007-2008

Lewandowska, Agnieszka; Reszczyńska, Małgorzata; Cader, Jan; Poniewierka, Elżbieta; Sajewicz, Zbigniew; Paradowski, Leszek
May 2009
Gastroenterologia Polska / Gastroenterology;2009, Vol. 16 Issue 3, p218
Academic Journal
Introduction: As the course of pancreatic disorders is usually uncharacteristic, diagnosis of the disease is late and the results of applied treatment therefore poor. Among patients with diagnosed neoplastic tumor of the pancreas 5-year survival is only 4%. The growing accessibility of various diagnostic methods, such as endoscopic ultrasound, computed tomography (CT), and magnetic resonance (MR) has significantly influenced the diagnostic process. With these methods it is possible to estimate more precisely the extent and character of the pancreatic lesion than with abdomen ultrasound examination. Despite these advanced techniques, there are still cases in which a final diagnosis cannot be made before surgery. The aim of the study was to establish the prevalence and character of tumor lesions of the pancreas in a group of patients hospitalized at the Department of Gastroenetrology and Hepatology, Wroclaw Medical University, from 2007 to 2008. Materials and methods: The medical records of 3649 patients were analyzed and those with pancreatic tumors were separated. Age, sex, established diagnosis (considering tumor location and type), reported symptoms, laboratory tests, and imaging findings were defined. Results: Eighty patients (2.2%) with diagnosed pancreatic tumors were selected from the 3649. In this group, neoplastic tumor was diagnosed in 19 (23.75%) and 7 (8.75%) had a suspected neoplastic etiology of the tumor and were referred for the further surgical treatment. In 54 patients (67.5%), chronic pancreatitis was the final diagnosis. In the group of 26 patients with a diagnosis or suspicion of neoplastic process solid tumors were stated as the majority (23 patients, 88.5%), whereas among the 54 cases with diagnosed chronic pancreatitis cyst-like lesions predominated (37 patients, 68.5%). Conclusions: As there is a high risk of a neoplastic process among patients with pancreatic tumors (32.5%), accurate and careful diagnostic evaluation is necessary. It is not possible to differentiate between chronic pancreatitis and a neoplastic process of the pancreas based on the reported symptoms of the disease. Despite accurate diagnostic evaluation, including percutaneous pancreatic biopsy, surgical intervention was necessary in some cases to establish the diagnosis.


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