Solid pseudopapillary tumor of the pancreas: A retrospective analysis of 36 cases from a single institution in India

Singh, Pradyumn; Patel, Kalpesh; Ramakrishna, B. S.

doi:10.4103/0019-509x.176727

Cited by 5 publications

(3 citation statements)

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“…In the present study, SPEN was found to be the most commonly occurring PCN. This was in conformance with three other prior studies, one of which is from the author's institution (7,15,16) (Table 5). This could either mean increased surgical resections for SPEN due to symptomatic presentation and large size as found in our study, or might indicate a true increase in the prevalence of SPEN.…”

Section: Discussionsupporting

confidence: 91%

Surgical outcomes of resected cystic neoplasms of pancreas: Experience from a tertiary care centre in India

Sharma

Bheerappa

2023

Turk J Surg

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Objective: Cystic neoplasms of the pancreas form a rare heterogeneous group of pancreatic tumors with variable clinical and diagnostic characteristics. Its incidence has increased in recent years due to improvements in cross-sectional imaging methods and awareness amongst surgeons. Material and Methods: This study aimed to study the demographic, clinical, imaging, and histopathologic characteristics, incidence of malignancy and outcome of surgical resection of pancreatic cystic neoplasms. Retrospective analysis of 91 patients who underwent surgical resection for cystic neoplasm of the pancreas between 2006 to 2017 at a tertiary care institute was done. Results: There was a female preponderance in the study with a mean age of 47.2 years. Abdominal pain (46.1%) and jaundice (23.1%) were the most common symptoms. Computed tomography and endoultrasound (EUS) were the most commonly used imaging methods in the study and demonstrated good surgical correlation. Pancreaticoduodenectomy (37.1%) was the most commonly performed procedure followed by distal pancreaticosplenectomy (31.8%). Of the lesions, 9.8% were found malignant. Solid pseudopapillary epithelial neoplasm (SPEN) (37.3%) was the most common neoplasm followed by serous (21.9%), intraductal papillary mucinous neoplasm (IPMN) (15.3%) and mucinous neoplasm (14.3%). Preoperative radiological diagnostic correlation was found to be 75-100% implying the importance of imaging in cystic neoplasms of the pancreas. Morbidity and mortality in the study group were 28.5% and 2.1%, respectively. Conclusion: Pancreatic cystic neoplasms were mostly benign with female preponderance and presented in the younger age group with prevalence of SPEN higher than IPMN in our subcontinent. These can be reliably diagnosed on preoperative cross-sectional imaging, and surgical resection is associated with favourable outcome and acceptable morbidity.

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Section: Discussionsupporting

confidence: 91%

Surgical outcomes of resected cystic neoplasms of pancreas: Experience from a tertiary care centre in India

Sharma

Bheerappa

2023

Turk J Surg

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“…SPTP which is an extremely rare tumor, typically affects women in their second or third decade of life. However, a small number of male patients with SPTP have also been reported in the literature [5][6][7] . In a large series, female to male ratio was reported to be 16/3 8 .…”

Section: Epidemiologymentioning

confidence: 99%

“…stated that complete surgical removal of even recurrent tumors is the best option and reported that SPTP recurrence did not adversely affect overall survival in their pediatric series 5,6 . Some researchers suggest that a treatment approach that includes only limited tumor resection such as enucleation, with negative surgical margins will be sufficient for these tumors 7,8 . The optimal surgical strategy for SPNP in children remains controversial.…”

Section: Introductionmentioning

confidence: 99%

Solid pseudodopillary tumor of the pancreas in children

Küpeli

2024

Cukurova Medical Journal

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Solid pseudopapillary tumor of the pancreas (SPTP) is mostly seen in young women in the second and third decades of life; it is quite uncommon in children. In this review, to deal with the current medical experience with SPTP in pediatric age group was aimed. In childen, SPTP demonstrates different clinical features. Complete resection is curative in most patients. In children, the optimal surgical strategy for SPTP is still obscure. Instead of radical resections, limited pancreatic resections, such as enucleations, with negative surgical margins should be attempted. For unresectable or recurrent tumours, cisplatin-based chemotherapy might be considered.

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Surgery for cystic tumors of pancreas: Report of high-volume, multicenter Indian experience over a decade

Chaudhari

Rebala

Ramesh

et al. 2019

Surgery

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Solid pseudopapillary tumor of the pancreas: A retrospective analysis of 36 cases from a single institution in India

Abstract: This study suggests that a management approach with only limited complete tumor resection would be adequate in these tumors.

Cited by 5 publications

References 1 publication

Surgical outcomes of resected cystic neoplasms of pancreas: Experience from a tertiary care centre in India

Surgical outcomes of resected cystic neoplasms of pancreas: Experience from a tertiary care centre in India

Solid pseudodopillary tumor of the pancreas in children

Surgery for cystic tumors of pancreas: Report of high-volume, multicenter Indian experience over a decade

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