Solid Pseudopapillary Neoplasm of the Pancreas in Young Male Patients: Three Case Reports

Aso, Akira; Ihara, Eikichi; Nakamura, Kazuhiko; Судовых, И. Е.; Ito, Tetsuhide; Nakamura, Masafumi; Ikeda, Tetsuo; Takizawa, Nobuyoshi; Oda, Yoshinao; Shimizu, Shuji

doi:10.1155/2017/9071678

Cited by 2 publications

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“…Con respecto al uso de ecoendoscopía, la literatura menciona que el diagnóstico definitivo es difícil por las siguientes razones: En primer lugar, los hallazgos de la ecoendoscopia son complejos y, a menudo, variables según el grado de degeneración hemorrágica; en segundo lugar, la aparición de tumores sólidos pseudopapilares en pacientes varones tiende a ser una lesión pequeña y sólida sin componente quístico, y los tumores pequeños con frecuencia tienden a presentarse como masas sólidas puras con un margen agudo; en tercer lugar, los hallazgos de la Eco endoscopia de los tumores pseudopapilares de <3 centímetros parecen diferir de aquellos que son > 3 centímetros. Proponen que el patrón de eco interno que podría ayudar a diferenciar sobre todo con los tumores neuroendocrinos, es el patrón heterogéneo prominente (9,10) .…”

Section: Discussionunclassified

Tumor sólido pseudopapilar de páncreas: Tumor de Frantz

et al. 2018

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El tumor pseudopapilar de páncreas, también conocido como tumor de Frantz, es una enfermedad muy rara en nuestro medio, comprende menos del 3 % de los tumores pancreáticos (1). Su etiología es desconocida, y su incidencia se observa en mujeres jóvenes con predominancia de la tercera década de la vida. Presentamos el caso de una mujer de 23 años que ingresa por epigastralgia urente desde hace 3 meses, además de llenura precoz. Al examen presenta dolor a la palpación profunda. Cuenta con perfil bioquímico, hepático, marcadores tumorales dentro de valores normales, la tomografía espiral multicorte (TEM) abdomino-pélvica reporta lesión neoformativa sólida quística de morfología redondeada de bordes bien definidos, la patología confirma tumor sólido pseudopapilar de páncreas. La paciente se somete a resección de tumor, con evolución favorable.

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Tumor sólido pseudopapilar de páncreas: Tumor de Frantz

et al. 2018

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“…EUS has assumed a very important role in the diagnosis of pancreatic lesions, providing a better evaluation of the morphologic characteristics of the lesions and the possibility of guiding fine-needle aspiration (FNA) punctures for tissue sampling with a low risk of complications and increased diagnostic accuracy [ 7 ]. SPT can present as a solid, cystic, or mixed lesion [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

The importance of endoscopic ultrasound fine-needle aspiration in the diagnosis of solid pseudopapillary tumor of the pancreas: two case reports

et al. 2018

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BackgroundSolid pseudopapillary tumor of the pancreas, otherwise known as solid and cystic tumor or Frantz tumor, is an unusual form of pancreatic carcinoma, with unknown etiopathogenesis, that accounts for 0.2 to 2.7% of all pancreatic tumors. It is defined as an exocrine pancreatic neoplasia that mainly affects women between the second and third decade of life, and its management is not well defined. Endoscopic ultrasound offers a key anatomical advantage in accessing the pancreas and endoscopic ultrasound fine-needle aspiration has become the gold standard method for the diagnosis of pancreatic lesions.Case presentationCase 1: A 31-year-old white Hispanic woman presented with epigastric pain for 5 months. An abdominal ultrasound revealed a single 2 cm nodule in the uncinate process of her pancreas. Endoscopic ultrasound showed a regular, well-defined solid lesion with alternating cystic areas at the uncinate process of her pancreas, measuring 1.7 × 1.4 cm; endoscopic ultrasound fine-needle aspiration was then performed with cytopathological analysis compatible with solid pseudopapillary tumor.Body computed tomography confirmed the absence of metastases and she underwent conventional duodenopancreatectomy. However, she died 4 days after surgery due to postoperative surgical complications.Case 2: A 35-year-old Hispanic woman presented with left upper quadrant abdominal pain for 3 months, associated with a palpable mass at this region. A computed tomography scan showed a solitary nodule in the pancreatic body. Endoscopic ultrasound showed a regular, well-defined, homogeneous lesion with small anechoic (cystic) areas, measuring 2 × 2 cm, in between the pancreatic body and neck. Endoscopic ultrasound fine-needle aspiration was performed and cytopathological analysis was suggestive of a pseudopapillary solid tumor. She underwent a body-tail laparoscopic pancreatectomy with splenectomy. Nine months after the diagnosis, she remains asymptomatic, continuing regular follow-up in the oncology out-patient clinic.ConclusionsSolid pseudopapillary tumor is a rare pancreatic malignancy. Endoscopic ultrasound fine-needle aspiration is the gold standard method to characterize and diagnose this type of pancreatic lesion, making this an invaluable tool to help guide clinical management and improve the preoperative diagnostic yield.

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Solid Pseudopapillary Neoplasm of the Pancreas in Young Male Patients: Three Case Reports

Cited by 2 publications

References 9 publications

Tumor sólido pseudopapilar de páncreas: Tumor de Frantz

Tumor sólido pseudopapilar de páncreas: Tumor de Frantz

The importance of endoscopic ultrasound fine-needle aspiration in the diagnosis of solid pseudopapillary tumor of the pancreas: two case reports

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