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Solid pseudopapillary neoplasm-diagnostic approach and postsurgical follow up:Three case reports and review of literature

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World Journal of Clinical Cases 2021年第7期9卷 1682-1695页

作者： Mohammad Abudalou Eduardo A Vega rohit dhingra Erik Holzwanger Sandeep Krishnan Svetlana Kondratiev Ali Niakosari Claudius Conrad Christopher G Stallwood Department of Internal Medicine St.Elizabeth Medical CenterBrightonMA 02135United States Department of General Surgery St.Elizabeth Medical CenterBrightonMA 02135United States Department of Gastroenterology Tufts Medical CenterBostonMA 02111United States Department of Gastroenterology St.Elizabeth Medical CenterBrightonMA 02135United States Department of Pathology St.Elizabeth Medical CenterBrightonMA 02135United States Department of Radiology St.Elizabeth Medical CenterBrightonMA 02135United States

BACKGROUND Solid pseudopapillary neoplasm(SPN)is a rare tumor that was first described by Frantz in *** this tumor is benign,some may have malignant potential that can be predicted based on demographics,imaging characteristics,and pathologic *** case series presents 3 SPN cases with discussion on gender differences,preoperative predictors of malignancy,and a suggested algorithm for diagnostic approach as well as post-surgical follow *** SUMMARY Three adult patients in a tertiary hospital found to have SPN,one elderly male and two young *** of the cases presented with abdominal pain and were discovered *** cases underwent endoscopic ultrasound with immunohistochemical staining(which were consistent with SPN before undergoing surgery),and one case underwent surgery directly after *** average tumor size was 5 *** was confirmed by *** patients had post-surgical complications requiring *** Demographic and imaging characteristics can be sufficient to establish diagnosis for SPN,while malignant cases require pre-operative evaluation with endoscopic ultrasound fine needle aspiration/fine needle biopsy.

关键词： Pancreas Pancreatic cyst Pancreatic neoplasms Solid pseudopapillary neoplasm Pancreatectomy Case report

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