title: [Diagnosis, therapeutic attitude and prognostic factors of the tumors of body and tail of the pancreas--a case presentation and a review of the literature].
abstract: Neoplasms of the body and tail of the pancreas are rarer in comparison to those occurring in the head of the pancreas, representing only 10% of the total number of pancreatic malignancies. They poses even in present one of the greatest therapeutic challenge for the surgeon as their diagnosis and treatment are difficult to be done mainly due to specific anatomic position of the pancreas as well as due to the absence of any specific symptomatology belonging to the tumors of the body and tail of the pancreas having smaller dimensions. Here we are presenting two cases of neoplasms of the body and tail of the pancreas from the archives of 3rd Surgical Clinic, Cluj Napoca, hereby illustrating the experience of this clinic in the domain of high class pancreatic surgery. The two patients, having 55 and 43 years of age respectively, were diagnosed with neoplasm of the body and tail of the pancreas for which they had undergone the procedure of distal pancreatectomy along with the resection of the spleen. Out of those two cases, the first case had an invasive process of the tumor in the region of the superior mesenteric vein for what it was performed a segmental resection of the superior mesenteric vein with a termino-terminal anastomosis of the remaining two proximal and distal ends, while the second case inspite of its large dimension of the tumor (approximately 10 c.m in diameter) did not have any loco-regional invasion or any kind of distal metastasis which rendered it possible for a radical intervention. The aim of this case presentation as well as the reviews of the literatures belonging to this specialised domain is to sustain the idea that pancreatic surgery should be performed in those specialised surgical centres having profound knowledge as well as all the existing information about the diagnostic procedures, therapeutic attitude and prognostic factors of this specific pathology.
authors.affiliation: UMF "Iuliu Haţieganu", Clinica Chirurgie III, Cluj-Napoca, Romania. na_hajjar@yahoo.com
authors.forename: N
authors.initials: N
authors.lastname: Al Hajjar
authors.forename: Terezia
authors.initials: T
authors.lastname: Muresan
authors.forename: C
authors.initials: C
authors.lastname: Iancu
authors.forename: O
authors.initials: O
authors.lastname: Bălă
authors.forename: A
authors.initials: A
authors.lastname: Szasz
authors.forename: S
authors.initials: S
authors.lastname: Chiorescu
authors.forename: P
authors.initials: P
authors.lastname: Boruah
authors.forename: F
authors.initials: F
authors.lastname: Pitu
authors.forename: C
authors.initials: C
authors.lastname: Zdrehus
mesh_terms: D000328:Adult; D021441:Carcinoma, Pancreatic Ductal / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006801:Humans; D008642:Mesenteric Veins / Q000601:surgery; D008875:Middle Aged; D009367:Neoplasm Staging; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D011379:Prognosis; D013156:Splenectomy; D016896:Treatment Outcome