Table of Contents    
Case Series
 
Solid pseudopapillary tumor of the pancreas: Report of five cases
Cameron D Adkisson1, Adam S Harris1, Mellena D Bridges2, Justin H Nguyen3, Horacio J Asbun4, John A Stauffe4
1Resident, General Surgery, Mayo Clinic Florida, Jacksonville, FL, USA.
2Consultant, Department of Radiology, Mayo Clinic Florida, Jacksonville, FL, USA.
3Consultant, Department of Transplantation, Mayo Clinic Florida, Jacksonville, FL, USA.
4Consultant, Department of Hepatobiliary and Pancreas Surgery, Mayo Clinic Florida, Jacksonville, FL, USA.

Article ID: 100005IJHPDCDA2012
doi:10.5348/ijhpd-2012-5-CS-3

Address correspondence to:
Cameron D Adkisson
MD Mayo Clinic Florida, Department of General Surgery
4500 San Pablo Road Jacksonville
FL 32224
USA
Phone: 904 953 8159
Email: Adkisson.Cameron@Mayo.edu

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How to cite this article:
Adkisson CD, Harris AS, Bridges MD, Nguyen JH, Asbun HJ, Stauffer JA. Solid pseudopapillary tumor of the pancreas: Report of five cases. International Journal of Hepatobiliary and Pancreatic Diseases 2012;2:9-14.


Abstract
Introduction: Solid pseudopapillary tumor of the pancreas (SPT) is a rare pancreatic tumor with an unclear pathogenesis and good prognosis after resection. We report our experience with the diagnostic and therapeutic management of these tumors over 10 years.
Case Series: A retrospective chart review was performed for all patients undergoing pancreatic resection at our institution from 2001 - 2011. Patients with final pathology demonstrating SPT were identified. Of 617 pancreatic resections performed at our institution, five patients (0.8%) were found to have solid pseudopapillary tumor of the pancreas. All patients were female with a mean age of 39.2 years. Abdominal pain was the presenting symptom in four patients. MRI demonstrated pancreatic head involvement in three patients and pancreatic tail involvement in one patient. CT scan was used to diagnose one tumor located in the body of the pancreas. Mean tumor size was 8.0 cm. Surgical treatment consisted of two open pancreaticoduodenectomies, one laparoscopic pancreaticoduodenectomy, one laparoscopic subtotal pancreatectomy and one laparoscopic distal pancreatectomy. Surgical pathology revealed no evidence of vascular invasion in any of the tumors and an R0 resection complete resection with no microscopic residual tumor was obtained in all patients. No patient had involved lymph nodes with a mean of 16 lymph nodes inspected. No complications from any pancreatic resection were observed.
Conclusion: Solid pseudopapillary tumors of the pancreas are a rare but treatable pancreatic tumor. Complete surgical excision is the treatment of choice and can be achieved through an open or minimal access technique.

Key Words: Solid pseudopapillary tumor, Pancreas, Pancreaticoduodenectomy

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Author Contributions:
Cameron D Adkisson - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Adam S Harris - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Mellena D Bridges - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Justin H Nguyen - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Horacio J Asbun - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
John A Stauffer - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of Submission.
Source of support:
None
Conflict of interest:
The authors declare no conflict of interest.
Copyright:
© Cameron D Adkisson et al. 2012; This article is distributed under the terms of Creative Commons attribution 3.0 License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see www.ijcasereportsandimages.com /copyright-policy.php for more information.) et. al. 2011; This article is distributed the terms of Creative Commons attribution 3.0 License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)