Pancreatic solid-cystic papillary tumor: clinical aspects, radiological findings and surgical treatment in a series of five patients

Abstract

Objective: To describe five cases of solid-cystic papillary tumor of thepancreas regarding clinical and radiological findings, together withsurgical treatment. Methods: The authors presented five patients withpancreatic solid-cystic papillary tumors. All patients were treated by theGeneral Surgery Service of the Teaching Hospital, Faculdade de Medicinado ABC – Santo André - São Paulo. There were four female and onemale patients, age range of 15-36 years. The study period spanned fromJanuary 2000 to November 2006. The main aspects concerning clinical,epidemiological and radiological findings were investigated. Results: Alltumors were resectable. The surgical procedures performed were: twocephalic gastroduodenopancreatectomies, one subtotal pancreatectomyplus splenectomy, one distal pancreatectomy plus splenectomy and onetotal gastroduodenopancreatectomy plus splenectomy. The mortalityrate was nil, whereas postoperative morbidity rate was 20%. All patientssurvived tumor resection and presented no recurrence (the follow-upperiod ranged from 6 to 54 months). Conclusion: The solid-cysticpapillary tumors of the pancreas are neoplasms with a good prognosis.Both clinical-epidemiological and radiological findings are important forcorrect diagnosis.

Keywords

• Pancreatic neoplasms/surgery
• Carcinoma
• papillary/surgery
• Pancreaticoduodenectomy
• Pancreas/pathology