Adenosquamous carcinoma of the pancreas: two case reports and review of the literature 

Abstract Background Among the total reported cases of pancreatic duct adenocarcinomas, around 1–2.9% are adenosquamous carcinomas of the pancreas. Due to limited data, preoperative diagnosis is a great challenge for physicians, and it is usually set post-operational, based on the pathologist report....

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Main Authors: Daniel Paramythiotis, Filippos Kyriakidis, Eleni Karlafti, Triantafyllos Didangelos, Ilias-Marios Oikonomou, Anestis Karakatsanis, Christos Poulios, Eleni Chamalidou, Anastasios Vagionas, Antonios Michalopoulos
Format: Article
Language:English
Published: BMC 2022-10-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-022-03610-5
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author Daniel Paramythiotis
Filippos Kyriakidis
Eleni Karlafti
Triantafyllos Didangelos
Ilias-Marios Oikonomou
Anestis Karakatsanis
Christos Poulios
Eleni Chamalidou
Anastasios Vagionas
Antonios Michalopoulos
author_facet Daniel Paramythiotis
Filippos Kyriakidis
Eleni Karlafti
Triantafyllos Didangelos
Ilias-Marios Oikonomou
Anestis Karakatsanis
Christos Poulios
Eleni Chamalidou
Anastasios Vagionas
Antonios Michalopoulos
author_sort Daniel Paramythiotis
collection DOAJ
description Abstract Background Among the total reported cases of pancreatic duct adenocarcinomas, around 1–2.9% are adenosquamous carcinomas of the pancreas. Due to limited data, preoperative diagnosis is a great challenge for physicians, and it is usually set post-operational, based on the pathologist report. We operated on two cases of adenosquamous carcinoma of the pancreas, which we present alongside the operation and treatment planning. Case report A 69-year-old Caucasian female and a 63-year-old Caucasian male presented themselves with jaundice in our department. The abdomen computed tomography and magnetic resonance imaging scans revealed lesions of the pancreas. A pancreas–duodenumectomy was performed in both patients, and the post-operational histology analysis revealed adenosquamous carcinoma of the pancreas head. The patients were discharged in good condition and received further chemotherapy treatment after surgery. Conclusions Two case reports of adenosquamous carcinoma of the pancreas are described here, which both underwent surgery resection. The limited available literature on this topic substantially limits the knowledge and guidance on treatment. A summarization of the available literature is attempted, alongside a description of possible fields of future research.
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spelling doaj.art-bd5ff1fcf4f0475794b16792aa21842b2022-12-22T02:38:05ZengBMCJournal of Medical Case Reports1752-19472022-10-011611910.1186/s13256-022-03610-5Adenosquamous carcinoma of the pancreas: two case reports and review of the literature Daniel Paramythiotis0Filippos Kyriakidis1Eleni Karlafti2Triantafyllos Didangelos3Ilias-Marios Oikonomou4Anestis Karakatsanis5Christos Poulios6Eleni Chamalidou7Anastasios Vagionas8Antonios Michalopoulos91st Propaedeutic Surgery Department, AHEPA University General Hospital of Thessaloniki, Aristotle University of Thessaloniki1st Propaedeutic Internal Medicine Department, AHEPA University General Hospital of Thessaloniki, Aristotle University of Thessaloniki1st Propaedeutic Internal Medicine Department, AHEPA University General Hospital of Thessaloniki, Aristotle University of Thessaloniki1st Propaedeutic Internal Medicine Department, AHEPA University General Hospital of Thessaloniki, Aristotle University of Thessaloniki1st Propaedeutic Surgery Department, AHEPA University General Hospital of Thessaloniki, Aristotle University of Thessaloniki1st Propaedeutic Surgery Department, AHEPA University General Hospital of Thessaloniki, Aristotle University of ThessalonikiDepartment of Pathology, School of Health Sciences, Faculty of Medicine, Aristotle University of Thessaloniki1st Propaedeutic Internal Medicine Department, AHEPA University General Hospital of Thessaloniki, Aristotle University of ThessalonikiGeneral Hospital of Kavala1st Propaedeutic Surgery Department, AHEPA University General Hospital of Thessaloniki, Aristotle University of ThessalonikiAbstract Background Among the total reported cases of pancreatic duct adenocarcinomas, around 1–2.9% are adenosquamous carcinomas of the pancreas. Due to limited data, preoperative diagnosis is a great challenge for physicians, and it is usually set post-operational, based on the pathologist report. We operated on two cases of adenosquamous carcinoma of the pancreas, which we present alongside the operation and treatment planning. Case report A 69-year-old Caucasian female and a 63-year-old Caucasian male presented themselves with jaundice in our department. The abdomen computed tomography and magnetic resonance imaging scans revealed lesions of the pancreas. A pancreas–duodenumectomy was performed in both patients, and the post-operational histology analysis revealed adenosquamous carcinoma of the pancreas head. The patients were discharged in good condition and received further chemotherapy treatment after surgery. Conclusions Two case reports of adenosquamous carcinoma of the pancreas are described here, which both underwent surgery resection. The limited available literature on this topic substantially limits the knowledge and guidance on treatment. A summarization of the available literature is attempted, alongside a description of possible fields of future research.https://doi.org/10.1186/s13256-022-03610-5AdenosquamousCarcinomaPancreasAdenocarcinomaDuodenumSurgery
spellingShingle Daniel Paramythiotis
Filippos Kyriakidis
Eleni Karlafti
Triantafyllos Didangelos
Ilias-Marios Oikonomou
Anestis Karakatsanis
Christos Poulios
Eleni Chamalidou
Anastasios Vagionas
Antonios Michalopoulos
Adenosquamous carcinoma of the pancreas: two case reports and review of the literature 
Journal of Medical Case Reports
Adenosquamous
Carcinoma
Pancreas
Adenocarcinoma
Duodenum
Surgery
title Adenosquamous carcinoma of the pancreas: two case reports and review of the literature 
title_full Adenosquamous carcinoma of the pancreas: two case reports and review of the literature 
title_fullStr Adenosquamous carcinoma of the pancreas: two case reports and review of the literature 
title_full_unstemmed Adenosquamous carcinoma of the pancreas: two case reports and review of the literature 
title_short Adenosquamous carcinoma of the pancreas: two case reports and review of the literature 
title_sort adenosquamous carcinoma of the pancreas two case reports and review of the literature
topic Adenosquamous
Carcinoma
Pancreas
Adenocarcinoma
Duodenum
Surgery
url https://doi.org/10.1186/s13256-022-03610-5
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