Yield of surgery in solid pseudopapillary neoplasms of the pancreas: A case series and literature review

作     者：Flávio Silano Ricardo Bandeira de Melo Amaral Rodolfo Carvalho Santana Vanessa Costa Neves JoséCelso Ardengh Paulo Cezar Galvão do Amaral 

作者机构：Digestive SurgeryHospital São Rafael/Rede D’OrSalvador 40285000BahiaBrazil Department of Surgery of the Upper Digestive SystemSão Rafael Hospital/Rede D’Or Hospital GroupSalvador 41253-190BahiaBrazil Surgery and AnatomyHospital das Clinicas da Faculdade de Medicina de Ribeirão Preto-Universidade de São PauloSão Paulo 04611-000São PauloBrazil Endoscopy ServiceHospital 9 de JulhoSão Paulo 04611-000São PauloBrazil Imaging and DiagnosisEscola Paulista de Medicina-São Paulo Federal UniversitySão Paulo 04611-000SPBrazil 

出 版 物：《World Journal of Gastrointestinal Oncology》 (世界胃肠肿瘤学杂志（英文版）（电子版）)

年 卷 期：2021年第13卷第6期

页      面：589-599页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Frantz tumor Malignancy Solid pseudo-papillary tumor Surgical treatment Survival Pancreas 

摘      要：BACKGROUND Solid pseudopapillary neoplasms(SPN)of the pancreas represents approximately 2%of non-endocrine tumors of the *** is described in the literature as a rare and predominant tumor in young *** To report a case series with SPN and analyzing clinical,surgical,anatomopathological characteristics,as well as the prognosis and review of *** Retrospective analysis of patients undergoing surgery,with histological diagnosis of SPN between 1998 and 2018,using standardized and prospectively completed forms,performed at the Surgery Service of the Upper Digestive System at Hospital São Rafael/Rede D’Or in *** of literature through a database search in MEDLINE/PubMed of retrospective *** Fourteen female patients with the average age of 31.6 years(range min-max)were *** patients(85.7%)were asymptomatic,being an incidental diagnosis or due to screening for other *** patient had abdominal pain due to gastric compression and another patient had *** 14 patients were staged with computerized tomography or magnetic resonance *** had evidence of *** 8 patients(57.1%),the tumor was in the tail and *** average size was 6.7 cm(range min-18).The type of surgery was according to the anatomical location of the *** was no lymph node *** two cases,vascular resection with the use of a prosthesis was required for *** surgical margins were *** all cases,postoperative immunohistochemistry confirmed that it was a solid pseudo-papillary neoplasia of the *** has been no disease recurrence in any case so *** The tumors had a benign,indolent and histopathological behavior compatible with the *** surgery is recommended in all cases.