Solid pseudopapillary tumor of the pancreas: a multicenter case series
Küçük Resim Yok
Tarih
2011
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: Solid-pseudopapillary tumor (SPT) is a rare pancreatic tumor with low malignant potential occurring predominantly in young women. The diagnostic algorithm and optimal surgical management of this neoplasm is still not well defined. Our aim is to evaluate the clinical presentations of solid pseudopapillary tumor of the pancreas and review the diagnosis, treatment and long-term follow up. Methods: In this study, eleven consecutive patients who underwent surgery for a pathologically confirmed SPT of pancreas followed from 1998 to 2011 were retrospectively reviewed. Results: Ten of the patients were female and the mean age at diagnosis was 32.3 years (range, 17 to 50 years). The mean size of the tumor was 9.2 cm (range, 2 to 22 cm). All patients had wellcircumscribed tumors in computed tomography (CT) and neo-plasms were almost equally distributed among the pancreatic head, corpus and tail. All patients underwent complete curative resections including pancreatoduodenectomy (n = 4), distal pancreatectomy (n = 3), complete resection (n = 4). Perioperative mortality was zero and morbidity was 25%. No patient received chemotherapy or radiotherapy after surgery. All patients were still alive without recurrent disease and no pancreatic dysfunction after a median follow-up of 85,9 months (33-164 months) was seen. Conclusions: Clinical and radiological features are highly important for the diagnosis of SPT and should always be considered in young women presenting with a large heterogenous solid-cystic pancreatic mass. Complete surgical excision of the tumor results in excellent prognosis in those patients.
Açıklama
Anahtar Kelimeler
Pancreas, Pancreaticoduodenectomy, Solid Pseudopapillary Tumor
Kaynak
Surgical Chronicles
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
16
Sayı
1