Operative Management of Papillary Cystic Neoplasms of the Pancreas

Panieri, Eugenio; Krige, J. E. J.; Bornman, Philippus C.; Graham, Scott M.; Terblanche, J.; Cruse, J. P.

doi:10.1016/s1072-7515(98)00015-5

Cited by 54 publications

(22 citation statements)

References 34 publications

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“…They are almost exclusively found in young women with a median age of 30 years [33–35]. On the basis of the largest review [36], tumors ranged in size from 0.5 to 34.5 cm with a mean diameter of 6.08 cm.…”

Section: Classification Of Pancreatic Cystic Lesionsmentioning

confidence: 99%

Epidemiology, Diagnosis, and Management of Cystic Lesions of the Pancreas

Jong

Bruno

Fockens

2012

Gastroenterology Research and Practice

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Although little is known on the true prevalence of pancreatic cysts, physicians are currently more frequently confronted with pancreatic cysts because of the increasing use of sophisticated cross-sectional abdominal imaging. Cystic lesions of the pancreas comprise of a heterogeneous group of diagnostic entities, some of which are benign such as inflammatory pseudocysts or serous cystadenomas and do not require resection when asymptomatic. Others like mucinous cysts or intraductal papillary mucinous neoplasms (IPMN) have a malignant potential and in these cases surgical resection is often indicated. For this reason an adequate distinction between the various cysts is crucial to optimize management strategy. Different diagnostic methods that could be of value in the differentiation include radiologic imaging techniques such as CT, MR, and endosonography. In addition, fluid aspiration for cytopathology, tumormarkers or molecular analysis is widely used. Different guidelines are available but so far no optimal diagnostic algorithm exists. We summarize the epidemiology, classification, clinical presentation, diagnostics, management, and future perspectives.

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Section: Classification Of Pancreatic Cystic Lesionsmentioning

confidence: 99%

Epidemiology, Diagnosis, and Management of Cystic Lesions of the Pancreas

Jong

Bruno

Fockens

2012

Gastroenterology Research and Practice

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“…Therefore, the spontaneous rupture of SPT was considered to result from both abrupt massive hemorrhage and increase of the pressure in the tumor. Panieri and colleagues reported a case of the major bleed into the lesser sac causing the rupture of SPT [16], and the enhanced CT also revealed a massive bleeding around the pancreatic tumor when our patient felt acute abdominal pain. Moreover, the tumor of the present case seemed to be slightly larger at the moment of rupture than three months later.…”

Section: Discussionmentioning

confidence: 59%

“…Since the cystic part of SPT consisted of the degeneration after the intramural hemorrhage [7, 9, 13, 16], SPT had a natural tendency to hemorrhage inside the tumor. Therefore, the spontaneous rupture of SPT was considered to result from both abrupt massive hemorrhage and increase of the pressure in the tumor.…”

Section: Discussionmentioning

confidence: 99%

A Case of Spontaneous Ruptured Solid Pseudopapillary Tumor of Pancreas Resected by Laparoscopic Surgery

Takamatsu

Nagano²,

Ohtsukasa³

et al. 2013

Case Reports in Medicine

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Solid pseudopapillary tumor (SPT) is an uncommon neoplasm of the pancreas. A rare case of spontaneous rupture of SPT is reported. A 13-year-old female felt acute abdominal pain without blunt abdominal trauma. Enhanced computed tomography (CT) revealed a tumor in the pancreas tail with fluid collection around it. The tumor was diagnosed as SPT with hemoperitoneum associated with spontaneous rupture. The bleeding was stopped conservatively and she was referred for surgery at three months after the rupture. At that time, CT revealed a tumor 4 cm in diameter, which protruded from pancreas tail without distant metastases. Since peritoneal dissemination was not seen on intraoperative exploration, laparoscopic enucleation was performed. Pathologically, the tumor was diagnosed as SPT with rupture of the capsule of tumor, and complete resection was confirmed. The patient has been followed up for two years, and she is alive without recurrence.

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“…[3] The causes of rupture are, either trauma to abdomen[456] or spontaneous, due to hemorrhage within tumor. [37] SPT of pancreas usually not diagnosed on clinical examination, unless a CT abdomen is done to reveal it. Even radiologically the differential diagnoses for SPT are, solid and cystic lesions of pancreas such as serous microcystic adenoma, cystadenocarcinoma, mucinous cystic neoplasms, other congenital and acquired postinflammatory and infectious cysts.…”

Section: Discussionmentioning

confidence: 99%

Solid pseudo papillary tumor of pancreas: Presenting as acute abdomen in a female child

Pattanshetti

Vinchurkar

Pattanshetti

2014

Indian Journal of Medical and Paediatric Oncology

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Solid pseudo papillary tumor (SPT) or Frantz's tumor is a slow-growing low-grade malignant tumor, commonly seen in young patients with a female predominance, which is commonly located in the body and tail of the pancreas. We report a case of SPT arising from the body of the pancreas in a 12-year-old girl who presented with acute abdomen and was treated successfully by local excision of the tumor with preservation of head of pancreas and spleen.

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Operative Management of Papillary Cystic Neoplasms of the Pancreas

Cited by 54 publications

References 34 publications

Epidemiology, Diagnosis, and Management of Cystic Lesions of the Pancreas

Epidemiology, Diagnosis, and Management of Cystic Lesions of the Pancreas

A Case of Spontaneous Ruptured Solid Pseudopapillary Tumor of Pancreas Resected by Laparoscopic Surgery

Solid pseudo papillary tumor of pancreas: Presenting as acute abdomen in a female child

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