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

• Main Authors: Carlos Anselmo Lima, Angela Silva, Carlos Alves, Antonio Alves Jr., Sonia Lima, Elisanio Cardoso, Erika Brito, Matheus Macedo-Lima, Divaldo Lyra Jr., Pollyanna Lyra, Marcia Macedo Lima
• Format: Article
• Language: English
• Published: Associação Médica Brasileira
• Series: Revista da Associação Médica Brasileira
• Subjects: neoplasias pancreáticas; cirurgia; feminino; adolescente; imuno-histoquímica
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017000300219&lng=en&tlng=en

Summary 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.