Author(s): 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
Date: 2017
Origin: Oasisbr
Subject(s): pancreatic neoplasms; surgery; female; adolescent; immunohistochemistry
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.
