tumores de páncreas

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Tumores de páncreas R1CG Edgar Vargas Flores

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Page 1: Tumores de páncreas

Tumores de páncreas

R1CG Edgar Vargas Flores

Page 2: Tumores de páncreas

Epithelial tumorsBenign  8551/0 Acinar cell cystadenoma  8441/0 Serous cystadenoma, NOS

Premalignant lesions  8148/2 Pancreatic intraepithelial neoplasia, grade 3 (PanIN-3)  8453/0 Intraductal papillary mucinous neoplasm (IPMN) with low- or intermediate-grade dysplasia  8453/2 Intraductal papillary mucinous neoplasm (IPMN) with high-grade dysplasia  8503/2 Intraductal tubulopapillary neoplasm (ITPN)  8470/0 Mucinous cystic neoplasm (MCN) with low- or intermediate-grade dysplasia  8470/2 Mucinous cystic neoplasm (MCN) with high-grade dysplasia

Malignant lesions  8500/3 Ductal adenocarcinoma  8560/3 Adenosquamous carcinoma  8480/3 Mucinous adenocarcinoma  8576/3 Hepatoid carcinoma  8510/3 Medullary carcinoma, NOS  8490/3 Signet ring cell carcinoma  8020/3 Undifferentiated carcinoma  8035/3 Undifferentiated carcinoma with osteoclast-like cells  8550/3 Acinar cell carcinoma  8551/3 Acinar cell cystadenocarcinoma  8453/3 Intraductal papillary mucinous carcinoma (IPMN) with an associated invasive carcinoma  8552/3 Mixed acinar-ductal carcinoma  8154/3 Mixed acinar-neuroendocrine carcinoma  8154/3 Mixed acinar-neuroendocrine-ductal carcinoma  8154/3 Mixed ductal-neuroendocrine carcinoma  8470/3 Mucinous cystic neoplasm (MCN) with an associated invasive carcinoma  8971/3 Pancreatoblastoma  8441/3 Serous cystadenocarcinoma, NOS  8452/3 Solid-pseudopapillary neoplasm

Pernick M, Pancreas tumors WHO Classification. 30 de noviembre 2012. monografía en internet. http://www.pathologyoutlines.com/topic/pancreaswho.html

Page 3: Tumores de páncreas

Neuroendocrine neoplasms  8150/0 Pancreatic neuroendocrine microadenoma  8240/3 Neuroendocrine tumor G1 (NET G1) / Carcinoid  8249/3 Neuroendocrine tumor G2 (NET G2)  8246/3 Neuroendocrine carcinoma, NOS  8013/3 Large cell neuroendocrine carcinoma  8041/3 Small cell neuroendocrine carcinoma  8241/3 Enterochromaffin cell (EC), serotonin-producing neuroendocrine tumour (NET)  8153/3 Gastrinoma, malignant  8152/3 Glucagonoma, malignant  8151/3 Insulin producing carcinoma (insulinoma)  8156/3 Somatostatinoma, malignant  8155/3 Vipoma, malignant

Mesenchymal tumours  9170/0 Lymphangioma, NOS  8850/0 Lipoma, NOS  8815/1 Solitary fibrous tumor  9260/3 Ewing sarcoma  8806/3 Desmoplastic small round cell tumor  Perivascular epithelioid cell neoplasm

Lymphomas  9680/3 Diffuse large B-cell lymphoma (DLBCL), NOS

Secondary tumours  Secondary tumours of the pancreas

Pernick M, Pancreas tumors WHO Classification. 30 de noviembre 2012. monografía en internet. http://www.pathologyoutlines.com/topic/pancreaswho.html

Page 4: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Page 5: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Page 6: Tumores de páncreas

•TAC• IRM•USE•CPRE

Estudios de imágen

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Page 7: Tumores de páncreas

Lesiones sólidas

Page 8: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Leiomiosarcoma metastàsico

Page 9: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Leiomiosarcoma metastàsico

Page 10: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Leiomiosarcoma metastàsico

Page 11: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Leiomiosarcoma metastàsico

Page 12: Tumores de páncreas

Lesiones mixtas

Page 13: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Tumor de Células de islote

Page 14: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Tumor de Células de islote

Page 15: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Tumor de Células de islote

Page 16: Tumores de páncreas

Quistes uniloculares

Page 17: Tumores de páncreas

Pseudoquiste pancreáticoGaillard F. Pancreatic pseudocyst. Monografìa en internet,http://radiopaedia.org/articles/pancreatic-pseudocyst-1

Page 18: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Quiste mucinoso

Page 19: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Quiste mucinoso

Page 20: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Quiste mucinoso

Page 21: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Quiste linfoepitelial

Page 22: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Quiste linfoepitelial

Page 23: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Quiste linfoepitelial

Page 24: Tumores de páncreas

Quistes multiloculares

Page 25: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Quiste Mucinoso

Page 26: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Quiste mucinoso

Page 27: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Quiste mucinoso

Page 28: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Cistadenoma seroso

Page 29: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Cistadenoma seroso

Page 30: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Cistadenoma seroso

Page 31: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Neoplasia mucinosa papilar intraductal.

Page 32: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Neoplasia mucinosa papilar intraductal.

Page 33: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Neoplasia mucinosa papilar intraductal.

Page 34: Tumores de páncreas

Lesiones microquísticas

Page 35: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Cistadenoma seroso

Page 36: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Cistadenoma seroso

Page 37: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Cistadenoma seroso

Page 38: Tumores de páncreas

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Cistadenoma seroso

Page 39: Tumores de páncreas

Adenocarcinoma pancreático

Page 40: Tumores de páncreas

Adenocarcinoma pancreático

Invasión regional

Page 41: Tumores de páncreas

Adenocarcinoma pancreático

Invasión vascular

Page 42: Tumores de páncreas

Adenocarcinoma pancreático

Invasión regional

Page 43: Tumores de páncreas

Adenocarcinoma pancreático

Metástasis

Page 44: Tumores de páncreas

Edge SP, Byrd DR, Compton CC et al. AJCC Cancer Staging Manual, 7th ed. New York. Springer, 2010.

Page 45: Tumores de páncreas

Edge SP, Byrd DR, Compton CC et al. AJCC Cancer Staging Manual, 7th ed. New York. Springer, 2010.

Page 46: Tumores de páncreas

Edge SP, Byrd DR, Compton CC et al. AJCC Cancer Staging Manual, 7th ed. New York. Springer, 2010.

Page 47: Tumores de páncreas

•Ascitis•Mets• Invasión vascular• Invasión regional

Criterios de irresecabilidad

Cho HW, Choi JY, Kim MJ et al. Pancreatic Tumors: Emphasis on CT Findings and Pathologic Classification. Korean J Radiol. 2011 Nov-Dec;12(6):731-739.

Page 48: Tumores de páncreas

• Gracias