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Splenic preserving distal pancreatectomy of a solid pseudopapillary pancreatic tumour

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Abstract

Background

Solid pseudopapillary tumours are rare primary lesions of the pancreas.They occur most commonly in young female patients. They are traditionally regarded as benign tumours with malignant potential.

Aim

We describe the incidental finding of this rare pancreatic lesion in a healthy 37-year-old female which was treated with splenic preserving distal pancreatectomy.

Results

The patient underwent curative resection with an uncomplicated postoperative course. Histology revealed the tumour origin with clear resection margins.The patient did not require adjunct therapy. Follow-up computed tomography (CT) scanning has demonstrated no evidence of local recurrence.

Conclusion

The authors conclude that splenic preservation is safe and desirable where no compromise in oncological principles exists. Despite improvements in histological characteristics of solid pseudopapillary tumours, no prognostic features exist and each case must be followed-up on an individual basis.

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References

  1. Martin RCG, Klimstra DS, Brennan MF, Conlon KC. Solid-pseudopapillary tumour of the pancreas: a surgical enigma?Ann Surg Oncol 2002; 9: 35–40

    Article  PubMed  Google Scholar 

  2. Frantz VK. Tumours of the pancreas. In: Atlas of tumour Pathology. Washington, DC: Armed forces Institute of Pathology 1959: 32–33.

    Google Scholar 

  3. Shorter N, Glick R, Klimstra D, Brennan MF, LaQuaglia P. Malignant Pancreatic Tumours in Childhood and Adolescence:The Memorial Sloan Kettering Experience, 1967 to Present.J Paediatr Surg 2002; 37: 887–892

    Article  Google Scholar 

  4. Ng KH, Tan PH, Thng CH, Ooi LL. Solid pseudopapillary tumour of the pancreas.ANZ J Surg 2003; 73: 410–415

    Article  PubMed  Google Scholar 

  5. Washington K. Solid pseudopapillary tumour of the pancreas: challenges presented by an unusual pancreatic neoplasm.Ann Surg Oncol 2002; 9: 3–4

    Article  PubMed  Google Scholar 

  6. Rebhandl W, Felberbauer FX, Puig Set al. Solid pseudopapillary tumour of the pancreas in children: Report of four cases and review of the literature.J Surg Oncol 2001; 76: 289–296

    Article  CAS  PubMed  Google Scholar 

  7. Cantisani V, Mortele KJ, Levy Aet al. MR imaging features of solid pseudopapillary tumour of the pancreasin adult and paediatric patients.Am J Roentgenol 2003; 181: 395–401

    Google Scholar 

  8. Tomsova M, Ryska A, Podhola M, Pohnetalova D. Solid and papillary epithelial tumour of the pancreas: cytological and histological features,Cesk Patol 2002; 38: 178–182

    CAS  PubMed  Google Scholar 

  9. Solid pseudopapillary tumour of the pancreas: a neoplasm with distinct and highly characteristic cytological features.Diagn Cytopathol 2002; 27:325-334

  10. Nishihara K, Nagoshi M, Tsuneyoshi M. Papillary cystic tumours of the pancreas. Assessment of their malignant potential.Cancer 1993; 71: 82–92

    Article  CAS  PubMed  Google Scholar 

  11. Kosmahl M, Seada LS, Janig U, Harms D, Kloppel G. Solid-pseudopapillary tumour of the pancreas: its origin revisited.Virchows Arch 2000; 436: 473–480

    Article  CAS  PubMed  Google Scholar 

  12. Mallet-Guy P, Vachon A, Pancretites Chroniques Gauches. Paris, France: Masson; 1943

    Google Scholar 

  13. Richardson DQ, Scott-Conner CE. Distal pancreatectomy with and without splenectomy: a comparative study.Am Surg 1989; 55: 21–25

    CAS  PubMed  Google Scholar 

  14. Aldridge MC, Williamson RCN. Distal pancreatectomy with and without splenectomy: a comparative study.Br J Surg 1991; 78: 976–979

    Article  CAS  PubMed  Google Scholar 

  15. Benoist S, Dugue L, Sauvanet A. Is there a role for preservation of the spleen in distal pancreatectomy?J Am Coll Surg 1999; 188: 255–260

    Article  CAS  PubMed  Google Scholar 

  16. Shoup M, Brennan MR McWhite K, Leung DHY, Klimstra D, Conlon KC. The value of splenic preservation with distal pancreatectomy.Arch Surg 2002; 137: 164–168

    Article  PubMed  Google Scholar 

  17. Shatney CH. Complications of splenectomy.Acta Anaesthesiol Belg 1987; 38: 333–339

    CAS  PubMed  Google Scholar 

  18. Davidson RN, Wall RA. Prevention and management of infections in patients without a spleen.Clin Microbiol Infect 2001; 7: 657–660

    Article  CAS  PubMed  Google Scholar 

Download references

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Correspondence to D. Broe.

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Broe, D., Ridgway, P.F., Swan, N. et al. Splenic preserving distal pancreatectomy of a solid pseudopapillary pancreatic tumour. Ir J Med Sci 175, 77–80 (2006). https://doi.org/10.1007/BF03167956

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  • DOI: https://doi.org/10.1007/BF03167956

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