Successful Treatment of Solid-Pseudopapillary Tumor of the Pancreas with Multiple Liver Metastases

Vol. 5, No. 2-3, 2005

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Case Report

Successful Treatment of Solid-Pseudopapillary Tumor of the Pancreas with Multiple Liver Metastases
I. Hassan^a, I. Celik^a, C. Nies^a, A. Zielke^a, B. Gerdes^a, R. Moll^b, A. Ramaswamy^b, H.-J. Wagner^c, D.K. Bartsch^a

^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.

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

Medline Abstract (ID 15855828)

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