Mahseeri Mohamad, Alqaiseieh Ahmad, Alkhader Du'a, Halbony Hala, Albreazat Mutaz, Abualhaj Saleh
General Surgery Department, School of Medicine, University of Jordan, Jordan.
Abdominal Transplant Surgery, Medical University of South Carolina, United States.
Int J Surg Case Rep. 2021 Feb;79:91-93. doi: 10.1016/j.ijscr.2021.01.009. Epub 2021 Jan 6.
Solid pseudopapillary neoplasm (SPN) is a rare pancreatic disorder that usually affects young women with no or nonspecific clinical manifestation. It accounts for approximately 1% of pancreatic neoplasms. The incidence of SPN is increasing, owing to improved imaging techniques and better recognition of this entity. Although most patients with SPNs have a favorable prognosis after radical resection, local recurrence or metastasis still occurs after surgery.
We present a 15-year-old female with a small solid pseudopapillary neoplasm in the Pancreas' proximal body. The patient presented with nonspecific symptoms and was diagnosed incidentally.
The patient underwent a central pancreatectomy and was discharged on the fifth postoperative day without complications. Central pancreatectomy may prevent devastating complications of pancreaticoduodenectomy surgery.
As SPN is a rare entity of pancreatic tumors, the surgical options for management are still debated. The respect for surgery should account for the tumor site and size. Also, life expectancy and surgical complications for each choice should be considered. In localized disease, segmental resection may prevent devastating complications of radical resection.
实性假乳头状瘤（SPN）是一种罕见的胰腺疾病，通常影响年轻女性，临床表现无或不具有特异性。它约占胰腺肿瘤的1%。由于成像技术的改进以及对该疾病的更好认识，SPN的发病率正在上升。尽管大多数SPN患者在根治性切除术后预后良好，但术后仍会发生局部复发或转移。
我们报告一名15岁女性，胰腺体部近端有一个小的实性假乳头状瘤。患者表现为非特异性症状，偶然被诊断出来。
患者接受了胰体尾切除术，术后第五天出院，无并发症。胰体尾切除术可预防胰十二指肠切除术的严重并发症。
由于SPN是胰腺肿瘤中的罕见类型，其治疗的手术选择仍存在争议。手术方式的选择应考虑肿瘤的部位和大小。此外，还应考虑每种选择的预期寿命和手术并发症。对于局限性疾病，节段性切除可预防根治性切除的严重并发症。
