Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment

Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment

Summary Introduction: Solid pseudopapillary tumor of the pancreas (SPTP) is a rare neoplasm of low malignant potential with uncertain behavior, diagnosed mainly in young women. Method: Our report comprises a series of cases of SPTP reviewed retrospectively, highlighting clinical, tomographic and immunohistochemical features, treatment performed and outcomes. Results: Thirteen patients were found to have pancreatic [solid] masses on computed tomography scan measuring a mean diameter of 8.8 cm. All patients underwent complete surgical excision. Immunohistochemistry confirmed diagnosis in all cases. Conclusion: SPTP occurs more frequently in young women. Diagnostic suspicion lies on the finding of a bulky, solid and cystic pancreatic mass. Imaging findings might provide diagnostic information before resection. Conservative approaches can be used in selected cases and survival rates are usually excellent following complete resection.

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Bibliographic Details
Main Authors: Lima,Carlos Anselmo, Silva,Angela, Alves,Carlos, Alves Jr.,Antonio, Lima,Sonia, Cardoso,Elisanio, Brito,Erika, Macedo-Lima,Matheus, Lyra Jr.,Divaldo, Lyra,Pollyanna, Lima,Marcia Macedo
Format: Digital revista
Language:English
Published: Associação Médica Brasileira 2017
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000300219
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Summary:Summary Introduction: Solid pseudopapillary tumor of the pancreas (SPTP) is a rare neoplasm of low malignant potential with uncertain behavior, diagnosed mainly in young women. Method: Our report comprises a series of cases of SPTP reviewed retrospectively, highlighting clinical, tomographic and immunohistochemical features, treatment performed and outcomes. Results: Thirteen patients were found to have pancreatic [solid] masses on computed tomography scan measuring a mean diameter of 8.8 cm. All patients underwent complete surgical excision. Immunohistochemistry confirmed diagnosis in all cases. Conclusion: SPTP occurs more frequently in young women. Diagnostic suspicion lies on the finding of a bulky, solid and cystic pancreatic mass. Imaging findings might provide diagnostic information before resection. Conservative approaches can be used in selected cases and survival rates are usually excellent following complete resection.

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