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DOI: 10.1055/s-0044-1798133
ROBOTIC DISTAL PANCREATECTOMY ASSOCIATED WITH SPLENECTOMY AND ENUCLEATION OF A PANCREATIC HEAD LESION
Female patient, 40 years old, previously healthy. During investigation of dyspepsia, incidental finding of pancreatic cyst on abdominal ultrasound. Magnetic nuclear resonance identified a 1.8 cm solid hypervascular lesion in the pancreatic tail and another 1.0 cm hypervascular lesion in the pancreatic head. Endoscopic ultrasound reports multiple small lesions in pancreatic parenchyma, suggestive of neuroendocrine tumor, with anatomopathological confirming the diagnostic hypothesis. PET-DOTA was performed with diffuse concentration, with at least six lesions, the largest with 2.1 cm in the pancreatic tail with SUV 58,5. Anesthetic Risk ASA I, normal physical examination, no previous abdominal surgeries. We performed a robotic distal pancreatectomy associated with splenectomy and enucleation of a pancreatic head lesion. Patient evolves postoperative uneventfully and was discharged on the 4th postoperative day. Definitive pathology describes low-grade multifocal neuroendocrine tumor (Ki67 <3%), the largest lesion with 2.0 cm, without lymph node involvement.
No conflict of interest has been declared by the author(s).
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Publication History
Article published online:
23 October 2019
© 2019. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Tomás Ramos Velloso Coelho, Raphael Leonardo da Cunha Araujo, Marleny Novaes Figueiredo, Pedro Chiaramelli, Paulo Henrique Domingues Miranda Brandão, Parisina Fraga. ROBOTIC DISTAL PANCREATECTOMY ASSOCIATED WITH SPLENECTOMY AND ENUCLEATION OF A PANCREATIC HEAD LESION. Brazilian Journal of Oncology 2019; 15.
DOI: 10.1055/s-0044-1798133