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Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment
Carlos Anselmo Lima1, Angela Silva2, Carlos Alves1
1University Hospital, Universidade Federal de Sergipe (UFS), and Oncology Department, Hospital de Urgências de Sergipe (HUSE/SES), Aracaju, SE, Brasil.
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.
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