Lesiones quísticas pancreáticas en pacientes adultos en el Instituto Ecuatoriano de Enfermedades Digestivas desde enero del 2017 hasta octubre del 2019.

Abstract

Introduction: Pancreatic cystic lesions refer to a well-defined lesion that includes localized fluid, which are detected incidentally when performing an imaging study. Most lesions are asymptomatic and benign; however, some carry a significant risk of malignant degeneration, so the correct identification of these lesions are paramount. Objective: The present study aims to analyze the cystic pancreatic lesions diagnosed to determine their imaging characteristics, their classification and classification, trying to identify signs that allow them to differentiate between benign and malignant in the Ecuadorian Institute of Digestive Diseases in the city of Guayaquil. Materials and Methods: Retrospective, observational and descriptive study. Results: Of the 84 patients, the mean age of the selected patients was 63.5 ± 19.71 and 23% were between the sixth and seventh decade of life. During the study, it was found that 31 (37%) correspond to IPMN, being an injury with pre-malignant potential, occurring more frequently in the pancreas, with the majority being 32% located in the head of the pancreas. Asymptomatic patients 40 (48 %) showed predominance in our study, followed by control 21 (25%) and abdominal pain 17 (20%). Conclusions: Pancreatic cystic lesions have become an increasingly identified inci - dental finding due to technological advances; a combination of clinical and imaging findings can help to classify cystic lesions in the pancreas appropriately and guide their management. The risk of malignancy in the future depends on the type of cyst and can be further evaluated by clinical criteria and morphological.