Pancreatoduodenectomy for Presumed Malignancy with an Unexpected Final Benign Histopathology: Report of a Case and Review of the Literature

Konstadinos G. Spiridakis, Manthos Flamourakis, George Delimpaltadakis, Ioannis Gionis, Elefterios Sfakianakis, Emmanuel Vassilogiannakis, Eleni Kalloidi, George Kostakis and Manousos Christodoulakis

Department of Surgery, General Hospital of Heraklion Crete Venizelio, Greece

^*Correspondance to: Konstadinos G. Spiridakis 

 PDF  Full Text DOI: 10.25107/2474-1647.2487

Abstract

Pancreatoduodenectomy (PD), commonly referred as the Whipple resection with or without pylorous preserving, is the treatment of choice for pancreatic and periampullary malignancies. Despite recent advances in diagnostic imaging, 5% to 10% of the patients that underwent Whipple’s procedure for presumed malignancy had a benign disease in the final histological exam. The aim of this study is the report of a case and review the literature in cases of presumed pancreatic carcinoma with benign histopathology final exam of the specimen after Whipple’s procedure. The crucial role of imaging in preoperative diagnosis so as to decide if the surgery is recommended or not, will be also discussed.

Keywords

Pancreatoduodenectomy; Benign histology; Pancreatic cancer; Diagnosis

Cite the article

Spiridakis KG, Flamourakis M, Delimpaltadakis G, Gionis I, Sfakianakis E, Vassilogiannakis E, et al. Pancreatoduodenectomy for Presumed Malignancy with an Unexpected Final Benign Histopathology: Report of a Case and Review of the Literature. Clin Surg. 2019; 4: 2487..