CARCINOMA DE CÉLULAS ESCAMOSAS PRIMARIO DEL PÁNCREAS

Mauricio Gabrielli N, Pablo Achurra T, Felipe León F, Lissette Leiva S, Santiago Martínez R, Ignacio Duarte G, Juan F Guerra C, Jorge Martínez C, Nicolás Jarufe C, Sergio Guzmán B
2014 Revista Chilena de Cirugía  
squamous cell carcinoma primary of the pancreas Background: Squamous cells are usually not present in the pancreas. Therefore, primary squamous cell carcinoma of the pancreas (SCCP) is an extremely rare tumor. case report: We report two cases of SCCP. Case 1: A 77 years-old woman was admitted for upper gastrointestinal bleeding. MDCT scan and endoscopic biopsy showed a carcinoma of the pancreatic head. She underwent a Whipple procedure and definitive biopsy revealed a SCCP. She died 9 years
more » ... r surgery due to an unrelated disease. To our knowledge, this is the longest survival reported. Case 2: A 63 years-old man was admitted for jaundice. Work-up revealed a pancreatic head mass and liver metastasis. He underwent a palliative double bypass surgery and chemotherapy. Intraoperative biopsy revealed a SCCP. The patient is still alive at 8 months follow-up. conclusion: Differential diagnoses of pancreatic cancer include SCCP. Long-term survival can be achieved if an early diagnosis and treatment are performed. resumen introducción: Las células escamosas habitualmente no están presentes en el páncreas. Por lo tanto, el carcinoma de células escamosas primario del páncreas (CCEP) es un tumor extremadamente raro. caso clínico: Presentamos dos casos de CCEP. Caso 1: Una paciente de 77 años consulta por hemorragia digestiva alta. El estudio con tomografía computada de abdomen y biopsias endoscópicas revelaron un carcinoma de la cabeza pancreática. Se realiza operación de Whipple con intención curativa y la biopsia definitiva fue diagnóstica de un CCEP. La paciente fallece 9 años después de la cirugía debido a una enfermedad no relacionada,
doi:10.4067/s0718-40262014000600011 fatcat:zkdrwidzhza43e7p3edsk4qcti