Revista ABCd (São Paulo). 01 abr, 2016

SOLID PSEUDOPAPILLARY NEOPLASM OF THE PANCREAS

Jorge Roberto Marcante CARLOTTO
Jorge Roberto Marcante CARLOTTO
Adriano Miziara GONZALEZ
Marcelo Moura LINHARES
Tarcisio TRIVIÑO
Benedito HERANI-FILHO
Alberto GOLDENBERG
Gaspar de Jesus LOPES-FILHO
Edson José LOBO
DOI: 10.1590/0102-6720201600020007

Background:

The solid pseudopapillary neoplasm is a rare tumor of the pancreas. However, it´s etiology still maintain discussions.

Aim:

To analyze it´s clinical data, diagnosis and treatment.

Methods:

A retrospective study of medical records of all patients treated from January 1997 until July 2015.

Results:

Were identified 17 cases. Most patients were women (94.11%) and the average age was 32.88 years. The main complaint was abdominal mass (47.05%). The most frequent location was in the body/tail of the pancreas (72.22%) and the most frequently performed surgery was distal pancreatectomy with splenectomy (64.70%). No patient had metastases at diagnosis. Conservative surgery for pancreatic parenchyma was performed in only three cases. The rate of complications in the postoperative period was 35.29% and the main complication was pancreatic fistula (29.41%). No patient underwent adjuvant treatment.

Conclusions:

The treatment is surgical and the most common clinical presentation is abdominal mass. Distal pancreatectomy with splenectomy was the most frequently performed surgery for its treatment.


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ABCD – BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY is a periodic with a single annual volume in continuous publication, official organ of the Brazilian College of Digestive Surgery - CBCD. Technical manager: Dr. Francisco Tustumi | CRM: 157311 | RQE: 77151 - Cirurgia do Aparelho Digestivo

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