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Surgical Management of Solid Pseudopapillary Tumor of the Pancreas

BACKGROUND AND OBJECTIVES: Although solid pseudopapillary tumor (SPT) of the pancreas is rare, its diagnosis has increased severalfold in the past decades. We present our experience in the management of SPT, including a patient who experienced tumor rupture during laparoscopy pancreatic resection. M...

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Autores principales: Coelho, Julio C. U., da Costa, Marco A. R., Ramos, Eduardo J. B., Torres, André Ritzmann, Savio, Mariane Christina, Claus, Christiano M. P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365096/
https://www.ncbi.nlm.nih.gov/pubmed/30740012
http://dx.doi.org/10.4293/JSLS.2018.00032
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author Coelho, Julio C. U.
da Costa, Marco A. R.
Ramos, Eduardo J. B.
Torres, André Ritzmann
Savio, Mariane Christina
Claus, Christiano M. P.
author_facet Coelho, Julio C. U.
da Costa, Marco A. R.
Ramos, Eduardo J. B.
Torres, André Ritzmann
Savio, Mariane Christina
Claus, Christiano M. P.
author_sort Coelho, Julio C. U.
collection PubMed
description BACKGROUND AND OBJECTIVES: Although solid pseudopapillary tumor (SPT) of the pancreas is rare, its diagnosis has increased severalfold in the past decades. We present our experience in the management of SPT, including a patient who experienced tumor rupture during laparoscopy pancreatic resection. METHODS: Data on all patients with SPT who were subjected to surgical treatment were retrospectively obtained. RESULTS: Of 20 patients evaluated, 17 (85%) were females. The mean age was 31 years. Tumor size varied from 2.7 × 1.5 to 13.5 × 10.0 cm, with a mean of 6.4 × 7.6 cm. The most common location was the tail and/or body of the pancreas (14 patients [70%]). Pancreatic tumor resection was performed in 19 patients (50%). The type of resection depended on tumor location and size: distal pancreatectomy (n = 13), pancreatoduodenectomy (n = 5), and central pancreatectomy (n = 1) Pancreatic resection was performed via laparoscopy in 7 patients who underwent distal pancreatectomy. Tumor resection was not performed in only 1 patient (5%), due to invasion of mesenteric vessels and presence of liver metastases. One patient had tumor rupture during laparoscopic resection, with no apparent macroscopic dissemination of the tumor. All 19 patients who underwent SPT resection had no tumor recurrence, including a patient with capsule invasion and another patient with tumor rupture during surgical dissection. The mean follow-up time was 38 months (range, 6–72 months). CONCLUSION: Complete SPT resection is possible in most patients, with a low recurrence rate. Because of its large size, laparoscopic resection of SPT's should be performed only by experienced surgeons to avoid tumor rupture.
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spelling pubmed-63650962019-02-08 Surgical Management of Solid Pseudopapillary Tumor of the Pancreas Coelho, Julio C. U. da Costa, Marco A. R. Ramos, Eduardo J. B. Torres, André Ritzmann Savio, Mariane Christina Claus, Christiano M. P. JSLS Scientific Paper BACKGROUND AND OBJECTIVES: Although solid pseudopapillary tumor (SPT) of the pancreas is rare, its diagnosis has increased severalfold in the past decades. We present our experience in the management of SPT, including a patient who experienced tumor rupture during laparoscopy pancreatic resection. METHODS: Data on all patients with SPT who were subjected to surgical treatment were retrospectively obtained. RESULTS: Of 20 patients evaluated, 17 (85%) were females. The mean age was 31 years. Tumor size varied from 2.7 × 1.5 to 13.5 × 10.0 cm, with a mean of 6.4 × 7.6 cm. The most common location was the tail and/or body of the pancreas (14 patients [70%]). Pancreatic tumor resection was performed in 19 patients (50%). The type of resection depended on tumor location and size: distal pancreatectomy (n = 13), pancreatoduodenectomy (n = 5), and central pancreatectomy (n = 1) Pancreatic resection was performed via laparoscopy in 7 patients who underwent distal pancreatectomy. Tumor resection was not performed in only 1 patient (5%), due to invasion of mesenteric vessels and presence of liver metastases. One patient had tumor rupture during laparoscopic resection, with no apparent macroscopic dissemination of the tumor. All 19 patients who underwent SPT resection had no tumor recurrence, including a patient with capsule invasion and another patient with tumor rupture during surgical dissection. The mean follow-up time was 38 months (range, 6–72 months). CONCLUSION: Complete SPT resection is possible in most patients, with a low recurrence rate. Because of its large size, laparoscopic resection of SPT's should be performed only by experienced surgeons to avoid tumor rupture. Society of Laparoendoscopic Surgeons 2018 /pmc/articles/PMC6365096/ /pubmed/30740012 http://dx.doi.org/10.4293/JSLS.2018.00032 Text en © 2018 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Paper
Coelho, Julio C. U.
da Costa, Marco A. R.
Ramos, Eduardo J. B.
Torres, André Ritzmann
Savio, Mariane Christina
Claus, Christiano M. P.
Surgical Management of Solid Pseudopapillary Tumor of the Pancreas
title Surgical Management of Solid Pseudopapillary Tumor of the Pancreas
title_full Surgical Management of Solid Pseudopapillary Tumor of the Pancreas
title_fullStr Surgical Management of Solid Pseudopapillary Tumor of the Pancreas
title_full_unstemmed Surgical Management of Solid Pseudopapillary Tumor of the Pancreas
title_short Surgical Management of Solid Pseudopapillary Tumor of the Pancreas
title_sort surgical management of solid pseudopapillary tumor of the pancreas
topic Scientific Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365096/
https://www.ncbi.nlm.nih.gov/pubmed/30740012
http://dx.doi.org/10.4293/JSLS.2018.00032
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