ABCD: Arquivos Brasileiros de Cirurgia Digestiva (Jun 2016)

SOLID PSEUDOPAPILLARY NEOPLASM OF THE PANCREAS

  • Jorge Roberto Marcante CARLOTTO,
  • Franz Robert Apodaca TORREZ,
  • Adriano Miziara GONZALEZ,
  • Marcelo Moura LINHARES,
  • Tarcisio TRIVIÑO,
  • Benedito HERANI-FILHO,
  • Alberto GOLDENBERG,
  • Gaspar de Jesus LOPES-FILHO,
  • Edson José LOBO

DOI
https://doi.org/10.1590/0102-6720201600020007
Journal volume & issue
Vol. 29, no. 2
pp. 93 – 96

Abstract

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ABSTRACT Background: The solid pseudopapillary neoplasm is a rare tumor of the pancreas. However, it´s etiology still maintain discussions. Aim: To analyze it´s clinical data, diagnosis and treatment. Methods: A retrospective study of medical records of all patients treated from January 1997 until July 2015. Results: Were identified 17 cases. Most patients were women (94.11%) and the average age was 32.88 years. The main complaint was abdominal mass (47.05%). The most frequent location was in the body/tail of the pancreas (72.22%) and the most frequently performed surgery was distal pancreatectomy with splenectomy (64.70%). No patient had metastases at diagnosis. Conservative surgery for pancreatic parenchyma was performed in only three cases. The rate of complications in the postoperative period was 35.29% and the main complication was pancreatic fistula (29.41%). No patient underwent adjuvant treatment. Conclusions: The treatment is surgical and the most common clinical presentation is abdominal mass. Distal pancreatectomy with splenectomy was the most frequently performed surgery for its treatment.

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