A pancreatic pseudopapillary tumor enucleated curatively. (2015)

• Record Type: Journal Article
• Authors: Karakas, Serdar; Dirican, Abuzer; Soyer, Vural; Koç, Süleyman; Ersan, Veysel; Ates, Mustafa
• Is Part Of: International journal of surgery case reports. Volume 10(2015)
• Page Start: 118
• Page End: 120
• Publication Date: 2015
• Subjects: Pancreas -- Pseudopapillary -- Enucleation; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2015.03.040
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Pancreatic pseudopapillary tumor is an rarely problem. Tumor may be more aggressive at males relatively to females. Complete resection is the main treatment option for these tumors. Abstract: Introduction: Pseudopapillary tumors (PPT) of the pancreas are very rare, comprising 0.3–2.7% of all pancreatic tumors, and they occur mostly in young women. Generally, they are benign, but in rare cases they can enlarge, invade adjacent organs, and metastasize distantly. Radiological assessments and biochemical markers are important for diagnosing tumor characteristics. The main treatment is tumor resection. Presentation of case: An 18-year-old female was referred to our department suffering from abdominal discomfort and upper quadrant abdominal pain. Abdominal computed tomography (CT) revealed a 6- × 5-cm mass between the pancreatic head and right adrenal gland (Fig. 1 ). The histological assessment was a solid PPT of the pancreas with intact surgical borders. Discussion: PPT are very rare, comprising approximately 5% of cystic pancreatic tumors and ∼1% of exocrine pancreatic neoplasms and present mainly during the second and third decades of life. PPTs are usually indolent tumors. As such, they tend to produce vague nonspecific symptoms or may be detected incidentally on imaging. Complete surgical resection (R0) is the most effective therapy for PPT. Conclusion: Although PPT is a very rare, benign tumor, it has the potential to metastasize to adjacent and distant organs. Consequently, they should be detected early, so that they can be treated surgically before malignant conversion.