1. Pregnancy-associated mucinous cystic neoplasms of the pancreas - A systematic review.
- Author
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Dhamor D, Irrinki S, Naik A, Kurdia KC, Rastogi P, Gupta P, and Kapoor VK
- Subjects
- Female, Pregnancy, Humans, Adult, Pancreas surgery, Pancreatectomy, Epithelial Cells pathology, Pancreatic Neoplasms pathology, Neoplasms, Cystic, Mucinous, and Serous surgery, Cystadenocarcinoma, Mucinous surgery
- Abstract
Introduction: Mucinous cystic neoplasms (MCN) are mucin-producing epithelial cell tumors of pancreas. They consist of an ovarian-type stroma expressing estrogen and progesterone receptors. Pregnancy-associated MCNs are presumed to be larger in size and more aggressive without any concrete evidence., Objective: and Data Sources: Systematic review of published literature using PubMed and Google Scholar databases. Original articles including case reports and series published between 1970&2021 were included wherein MCN was diagnosed during pregnancy/within one-year post-partum. Thirty-three publications having 36 cases, adding one of our own patient were analyzed in this review., Result: Median age at presentation was 32 years. Only three (9%) patients were asymptomatic. Mean size of MCN was 135 mm. Ten patients (27%) reported an increase in size during pregnancy. Most tumors involved body and tail of pancreas (60%). Distal pancreatectomy with splenectomy was the most common resection performed (57%). No foetal mortality was reported to date., Conclusion: Pregnancy may cause a rapid increase in size of MCN. Decision-making is more complex and needs a fine balance between optimal oncological and obstetric outcomes., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Inc. All rights reserved.)
- Published
- 2023
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