Department of GI, HPB and Minimal Invasive Surgery, Municipal Hospital Jaipur, India
*Corresponding author: Monika Gupta, Department of GI, HPB and Minimal Invasive Surgery, Municipal Hospital Jaipur, India
Submission: September 09, 2017; Published: November 09, 2017
ISSN : 2576-8816Volume2 Issue2
Introduction: Pts with resettable tumors may have varied presentations. Few of the tumors can present like advanced tumors with metastasis. These cases should be properly assessed regarding lesions masquerading metastasis with having separate resettable pathology.
Methods: We have successfully managed 2 such cases which presented to us with features suggestive of advanced malignancy. In both of cases hypoprotinemic ascetic with primary localized GB mass and tubercular ascetic with encapsulated cystic pancreatic neoplasm, was masquerading advanced metastatic malignancy respectively. These pts underwent treatment of hypoprotinemic and abdominal tuberculosis respectively, followed by reasonable improvement in general condition as well as disappearance of ascetic and abdominal nodules respectively. Case 1 underwent diagnostic laparoscopy elsewhere followed by, radical cholecystectomy with port site excisions 2.5 yrs back at our centre and later underwent multiple port site hernioplasty, case 2 underwent laparotomy and staging with biopsy and 2 month later she underwent spleen preserving distal pancreatectomy
Result: Both pts underwent 2 operations and they are disease free and surviving till now after 2.5 and 2yrs respectively.
Conclusion: Proper workup and clinical assessment is necessary before declaring any pancreaticobiliary tumor unrespectable.
Keywords: Metastatic malignancy; Ca gb; Cystic pancreatic neoplasm; Radical resection; Tubercular ascetic; Hypoprotinemic ascitis
Keywords: Resettable HPB tumors; Metastatic presentation; Hypoprotinemic ascitis; Tubercular ascetic; Radical cholecystectomy; Radical distal pancreatectomy