Guimaraes Narcisa, Vila Nova Carlos, Oliveira Dias Raquel, Fonseca Pinho Joao, Valente Cecílio José
General Surgery, Hospital Distrital da Figueira da Foz, Figueira da Foz, PRT.
Cureus. 2021 Nov 25;13(11):e19880. doi: 10.7759/cureus.19880. eCollection 2021 Nov.
Solid pseudopapillary tumor (SPT) of the pancreas is a rare tumor, sometimes asymptomatic, mainly affecting young females. It has a low malignant potential, and its complete surgical resection with free margins is the treatment of choice, offering an excellent prognosis. We present the case of a 43-year-old healthy female who was referred to the surgery department for a large abdominal mass found in the abdominal ultrasound. In the course of the study of this mass, an abdominal CT with fine needle aspiration (FNA) was performed, revealing a solid pseudopapillary tumor of the tail of the pancreas. A laparotomic distal pancreatectomy with total splenectomy was performed. A grade B pancreatic fistula occurred on the third postoperative day, and she was released on postoperative day 11. Histopathology study revealed a 10 cm solid pseudopapillary tumor of the pancreas, with cavities filled with hematic content and limited by a partially calcified capsule. SPT is a rare and indolent tumor. Prognosis is highly favorable after an adequate surgical resection, hence the importance of a precise preoperative diagnosis. Therefore, it is important to choose the most appropriate surgical strategy for each patient.
胰腺实性假乳头状瘤（SPT）是一种罕见肿瘤，有时无症状，主要影响年轻女性。其恶性潜能较低，完整手术切除且切缘阴性是首选治疗方法，预后良好。我们报告一例43岁健康女性病例，该患者因腹部超声检查发现腹部有一巨大肿块而被转诊至外科。在对该肿块的检查过程中，进行了腹部CT及细针穿刺活检（FNA），结果显示为胰腺尾部实性假乳头状瘤。遂行剖腹远端胰腺切除术及全脾切除术。术后第3天发生了B级胰瘘，患者于术后第11天出院。组织病理学检查显示胰腺有一个直径10 cm的实性假乳头状瘤，瘤内有充满血液的腔隙，周围有部分钙化的包膜。SPT是一种罕见的惰性肿瘤。充分手术切除后预后非常好，因此术前精确诊断很重要。所以，为每位患者选择最合适的手术策略很重要。
