Spleen-preserving distal pancreatectomy in the management of solid papillary-cystic tumor of the pancreas: case report and literature review

• Autor(a) principal: Soares-Junior,Cleber
• Data de Publicação: 2010
• Outros Autores: Gomes,Carlos Augusto, Peixoto,Rodrigo de Oliveira, Gomes,Camila Couto, Juste,Luciano Augusto
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202010000300015
• topic: Pancreas; Neoplasm; Cystic tumor

BACKGROUND: Solid papillary-cystic pancreatic tumors have been recognized as a distinct neoplastic disease, whose incidence has increased in recent years with advancements in imaging technology. CASE REPORT: Woman 17-year-old consulted with a symptomatic giant homogeneous solid-cystic mass in the pancreatic tail, undergone a spleen preserving distal pancreatectomy, with excision of the splenic vessels. Histopathology revealed epithelium-lined pseudopapillary protrusions, without malignant change. The patient's postoperative course was uneventful. CONCLUSION: Solid papillary-cystic pancreatic tumor has uncommon incidence and silent presentation, a high degree of suspicion on the part of the surgeon is warranted. In early diagnosis, complete resection is curative. The spleen should be preserved, if feasible.