Case Report
Successful Treatment of Solid-Pseudopapillary Tumor of the Pancreas with Multiple Liver Metastases
I. Hassana, I. Celika, C. Niesa, A. Zielkea, B. Gerdesa, R. Mollb, A. Ramaswamyb, H.-J. Wagnerc, D.K. Bartscha
aDepartment of Surgery and Institute of Theoretical Surgery, bInstitute of Pathology, and cDepartment of Diagnostic Radiology, Philipps University of Marburg, Marburg, Germany
Address of Corresponding Author
Pancreatology 2005;5:289-294 (DOI: 10.1159/000085285)
Key Words
- Solid-papillary cystic tumor
- Surgery
- Liver metastases
Abstract
The solid-pseudopapillary tumor (SPT) is a very rare pancreatic neoplasm that predominantly affects young females. About 450 cases have been described in the world literature and approximately 20% of the reported patients were children. The occurrence of SPT with distant metastases in children is extremely rare with only two previously reported cases. We now report a 16-year-old Asian girl with a large SPT and synchronous multiple liver metastases who was successfully treated in a 2-step strategy, including initial pylorus-preserving partial duodenopancreatectomy, right hemicolectomy, resection and allografting of the portal vein and secondary resection of 12 liver metastases. The patient is disease free after a follow-up of 18 months after resection of the primary tumor, suggesting that an aggressive surgical treatment might also be justified for metastasized SPT. Copyright © 2005 S. Karger AG, Basel and IAP
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Author Contacts
D.K. Bartsch Department of Surgery Philipps University Marburg DE-35033 Marburg (Germany) Tel. +49 6421 286 64 43, Fax +49 6421 286 89 95 E-Mail bartsch@mailer.uni-marburg.de
Article Information
Published online: April 22, 2005
Number of Print Pages : 6
Number of Figures : 3, Number of Tables : 0, Number of References : 25
Publication Details
Pancreatology Vol. 5, No. 2-3, Year 2005 (Cover Date: 2005)
Journal Editor: Urrutia, R. (Rochester, Minn.)
ISSN: 1424-3903 (print), 1424-3911 (Online) For additional information: http://www.karger.com/pan
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