Corpo-caudal pancreatectomy with splenic preservation in the treatment of a solid pseudopapillary tumor (Frantz tumor) [Abstract in English]

Marcelo Garcia Toneto, Raquel Cristine Breunig, Renata Farinon Nascimento

Abstract


AIMS: To present a case of solid pseudopapillary tumor (Frantz tumor), an infrequent pancreatic neoplasm, which has been increasingly diagnosed and reported in the literature.
CASE DESCRIPTION: A 18-year old woman presented with pain and tenderness in the left upper abdominal quadrant. Abdominal ultrasound and computed tomography scan revealed a solid and cystic lesion in the body of the pancreas. The patient underwent a corpo-caudal pancreatectomy with splenic preservation. Pathologic analysis of the specimen revealed a solid pseudopapillary tumor. Postoperative course was uneventful with complete resolution of the symptoms, and the patient is completely asymptomatic six months after the operation.
CONCLUSIONS: Pancreatic solid pseudopapillary tumor is a rare neoplasm that predominantly occurs in young women, and is generally considered a low-grade malignant tumor. Its clinical presentation is nonspecific abdominal symptoms, and the diagnosis is performed by image tests. Complete surgical resection of primary tumor is the treatment of choice.

Keywords


PANCREAS; PANCREATIC NEOPLASMS/diagnosis; PANCREATIC NEOPLASMS/therapy; CANCER OF PANCREAS; FRANTZ TUMOR; PANCREATECTOMY.



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