A tertiary care centre experience with periampullary and pancreatic neoplasm in pylorus preserving pancreaticoduodenectomy specimens.

  • Limi Mohandas Sree Gokulam Medical College & Research Foundation
  • Sheela Vasudevan
  • Kalaranjini KV
Keywords: PERIAMPULLARY, PANCREATICODUODENECTOMY, PERINEURAL INVASION, LYMPHNODES METATASES

Abstract

BACKGROUND: Periampullary neoplasms are of pathologic and clinical significance, out of proportion to the small size of the structure. These neoplasms have different long term follow up following resection despite having similar histology.METHODS:  A prospective study was done in the department of Pathology, Sree Gokulam Medical College and Research Foundation from Dec 2013 to May 2015 for a period of 18 months. This cross-sectional study included a total of eighteen cases. Study was commenced after approval from institutional ethical committee. RESULTS: In the present study, females predominated M:F of 1:3.5. The median age for the malignant lesions ranged from 55 yrs to 60yrs and for benign lesions were 30-39years. The most common clinical presentation were neoplastic lesions accounted for 80% of the total lesions and non neoplastic lesions such as chronic calcific pancreatitis for 20%.CONCLUSION: Pancreatic adenocarcinoma accounted for most number of lesions. Tumor variables such as perineural invasion and margin status positivitiy were seen in pancreatic carcinomas.  DOI: 10.21276/APALM.1190  

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Published
2017-08-31
Section
Original Article