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Philippe Ruszniewski

Publications and source records attributed to Philippe Ruszniewski.

58 records · Page 4Linked to original sources

[Cholangiocarcinoma due to postradiation therapy cholangitis and chronic pancreatitis].

There are no reports of cholangiocarcinoma complicating post radiotherapy cholangitis. We report the case of a 40 year old patient who had undergone thoracoabdominal radiotherapy for Hodgkin's disease, 22 years ago. This radiotherapy was complicated, many years later, by chronic pancreatitis and cholangitis. Recurrent angiocholangitis led us to schedule a biliodigestive anastomosis. During surgery, cholangiocarcinoma was discovered. The patient died from his carcinoma some months later.

Adult↗

Helical CT of pancreatic endocrine tumors.

Pancreatic endocrine tumors are rare neoplasms. It is important to distinguish them from the more common ductal adenocarcinoma of the pancreas because they are slowly progressive and specific treatments are available. The CT findings of pancreatic endocrine tumors usually vary according to the functioning or nonfunctioning status. In this article, the authors illustrate typical and atypical CT findings of pancreatic endocrine tumors with radiopathologic correlations and give examples of other pancreatic conditions mimicking pancreatic endocrine tumors.

Adult↗

[Serous cystadenoma of the pancreas. An occasionally compressive tumor].

Serous cystadenomas of the pancreas are slow growing tumors, rarely compressive and therefore rarely symptomatic. Morphologically typical serous cystadenomas can be safely followed up. We report here three atypical cases of serous cystadenomas compressing either biliary, pancreatic main ducts or splenic vascular pedicle. We analyze from the literature the frequency of these various compressions by different types of cystic pancreatic tumors of the pancreas. Because of the rarity of pancreatic ductal and vascular compressions by serous cystadenomas, the occurrence of such compressions should lead to surgical resection to rule out a pre-malignant or malignant cystic tumor. On the contrary, compression of bile ducts by serous cystadenomas appears as relatively frequent and is therefore less suggestive of potential malignancy. A simple bilio-enteric by-pass can be performed when lesions are morphologically typical of serous cystadenomas and confirmed by surgical biopsy.

Abdominal Pain↗