Laparoscopic enucleation of Frantz's tumor of the pancreas: Case report and literature review. (April 2021)

• Record Type: Journal Article
• Authors: Eric, Dragan; Milosavljevic, Vladimir; Gonzalez-Urquijo, Mauricio; Tadic, Boris; Veselinovic, Milan; Grubor, Nikola; Jelic, Djordje; Bjelovic, Miloš
• Is Part Of: Annals of medicine and surgery. Volume 64(2021)
• Publication Date: 2021-04
• Subjects: Laparoscopic enucleation -- Tumor -- Pancreas; Surgery -- Periodicals; Medicine -- Periodicals; General Surgery -- Periodicals; Education, Medical -- Periodicals; Periodicals; 617
• DOI: 10.1016/j.amsu.2021.102221
• Languages: English
• ISSNs: 2049-0801

Abstract

Abstract: Introduction: Frantz's tumor of the pancreas is a rare phenomenon, and it accounts for 1–3% of all neoplasms of the pancreas. Its percentage is much higher in younger persons, especially in younger women, as compared to the rest of the population. Presentation of case: The present study describes a 32-year-old female patient in whom a preoperative imaging diagnosis confirmed a mass in the junction of the pancreas' body and tail. Based on the anamnesis, the preoperative diagnosis, and the patient's general status, the decision was made to performed laparoscopic enucleation of the pancreatic tumor. The operation and postoperative recovery passed without complications. Definitive histopathological and immunohistochemical findings confirmed a solid pseudopapillary neoplasm of the pancreas. Discussion: Depending on the localization and the size of the tumor, surgical options range from typical and atypical resections of the pancreas to minimally invasive surgical procedures, such as local excision and enucleation. Laparoscopic procedures have a comparative advantage in cases of enucleation and resection of the pancreas. The low frequency of recidivation and a favorable prognosis, even after repeated surgery, are additional reasons for favoring the laparoscopic approach over the classical surgical approach. Conclusion: A minimally invasive surgical approach should be applied whenever the dimensions and the localization of the tumor permit it, bearing in mind all the benefits and advantages that this surgical technique offers. Highlights: Solid pseudopapillary neoplasm of the pancreas, is known as Frantz's tumor. Around 1, 000 cases of Frantz's tumor have been described. 32-year-old patient underwent laparoscopic enucleation of an 18 mm pancreatic tumor. Laparoscopic enucleation is a feasible option for the treatment of these masses.