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
Martin RCG, Klimstra DS, Brennan MF, Conlon KC. Solid-pseudopapillary tumour of the pancreas: a surgical enigma?Ann Surg Oncol 2002; 9: 35–40
Frantz VK. Tumours of the pancreas. In: Atlas of tumour Pathology. Washington, DC: Armed forces Institute of Pathology 1959: 32–33.
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
Ng KH, Tan PH, Thng CH, Ooi LL. Solid pseudopapillary tumour of the pancreas.ANZ J Surg 2003; 73: 410–415
Washington K. Solid pseudopapillary tumour of the pancreas: challenges presented by an unusual pancreatic neoplasm.Ann Surg Oncol 2002; 9: 3–4
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
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
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
Solid pseudopapillary tumour of the pancreas: a neoplasm with distinct and highly characteristic cytological features.Diagn Cytopathol 2002; 27:325-334
Nishihara K, Nagoshi M, Tsuneyoshi M. Papillary cystic tumours of the pancreas. Assessment of their malignant potential.Cancer 1993; 71: 82–92
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
Mallet-Guy P, Vachon A, Pancretites Chroniques Gauches. Paris, France: Masson; 1943
Richardson DQ, Scott-Conner CE. Distal pancreatectomy with and without splenectomy: a comparative study.Am Surg 1989; 55: 21–25
Aldridge MC, Williamson RCN. Distal pancreatectomy with and without splenectomy: a comparative study.Br J Surg 1991; 78: 976–979
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
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
Shatney CH. Complications of splenectomy.Acta Anaesthesiol Belg 1987; 38: 333–339
Davidson RN, Wall RA. Prevention and management of infections in patients without a spleen.Clin Microbiol Infect 2001; 7: 657–660
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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