Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment

Rev Assoc Med Bras (1992). 2017 Mar;63(3):219-223. doi: 10.1590/1806-9282.63.03.219.

Abstract

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.

MeSH terms

  • Adolescent
  • Adult
  • Female
  • Humans
  • Immunohistochemistry
  • Pancreatectomy / methods
  • Pancreatic Neoplasms / pathology*
  • Pancreatic Neoplasms / surgery*
  • Retrospective Studies
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Tumor Burden
  • Young Adult