Abstract
Purpose: The appropriate surgical intervention strategies for solid pseudopapillary tumor (SPT) of the pancreas in children are still controversial. The aim of this study was to establish surgical intervention strategies based on the pathological findings. Methods: We retrospectively reviewed the medical records of patients who underwent surgery for SPT between January 1994 and April 2013. Results: Five patients with SPT were identified. Tumors were located in the pancreatic head (n = 1), body (n = 2) and tail (n = 2). One patient showed spleen, liver and lung metastases. All five patients underwent pancreatectomy. Enucleation was not performed. One patient with metastases underwent partial hepatectomy. Four tumors had infiltration into the adjacent pancreatic parenchyma. The main pancreatic duct was incorporated into the tumor capsule wall in two patients. Surgical margins were negative in all patients without metastases. The median follow-up period was 37.8 months (range 7-74 months). One patient with metastases died at 60 months after surgery. All other patients were alive and showed no evidence of recurrence. Conclusion: Radical resection with negative margins should be performed for SPT. From the perspective of curability, we suggest that pancreatectomy is the first choice for SPT in children.
| Original language | English |
|---|---|
| Pages (from-to) | 253-257 |
| Number of pages | 5 |
| Journal | Pediatric Surgery International |
| Volume | 30 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - Mar 1 2014 |
| Externally published | Yes |
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Keywords
- Children
- Frantz tumor
- Pancreatectomy
- Solid pseudopapillary tumor of the pancreas
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Surgery
Cite this
Solid pseudopapillary tumor of the pancreas in children : Surgical intervention strategies based on pathological findings. / Morita, Keiichi; Urushihara, Naoto; Fukumoto, Koji; Miyano, Go; Yamoto, Masaya; Nouso, Hiroshi; Miyake, Hiromu; Kaneshiro, Masakatsu.
In: Pediatric Surgery International, Vol. 30, No. 3, 01.03.2014, p. 253-257.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Solid pseudopapillary tumor of the pancreas in children
T2 - Surgical intervention strategies based on pathological findings
AU - Morita, Keiichi
AU - Urushihara, Naoto
AU - Fukumoto, Koji
AU - Miyano, Go
AU - Yamoto, Masaya
AU - Nouso, Hiroshi
AU - Miyake, Hiromu
AU - Kaneshiro, Masakatsu
PY - 2014/3/1
Y1 - 2014/3/1
N2 - Purpose: The appropriate surgical intervention strategies for solid pseudopapillary tumor (SPT) of the pancreas in children are still controversial. The aim of this study was to establish surgical intervention strategies based on the pathological findings. Methods: We retrospectively reviewed the medical records of patients who underwent surgery for SPT between January 1994 and April 2013. Results: Five patients with SPT were identified. Tumors were located in the pancreatic head (n = 1), body (n = 2) and tail (n = 2). One patient showed spleen, liver and lung metastases. All five patients underwent pancreatectomy. Enucleation was not performed. One patient with metastases underwent partial hepatectomy. Four tumors had infiltration into the adjacent pancreatic parenchyma. The main pancreatic duct was incorporated into the tumor capsule wall in two patients. Surgical margins were negative in all patients without metastases. The median follow-up period was 37.8 months (range 7-74 months). One patient with metastases died at 60 months after surgery. All other patients were alive and showed no evidence of recurrence. Conclusion: Radical resection with negative margins should be performed for SPT. From the perspective of curability, we suggest that pancreatectomy is the first choice for SPT in children.
AB - Purpose: The appropriate surgical intervention strategies for solid pseudopapillary tumor (SPT) of the pancreas in children are still controversial. The aim of this study was to establish surgical intervention strategies based on the pathological findings. Methods: We retrospectively reviewed the medical records of patients who underwent surgery for SPT between January 1994 and April 2013. Results: Five patients with SPT were identified. Tumors were located in the pancreatic head (n = 1), body (n = 2) and tail (n = 2). One patient showed spleen, liver and lung metastases. All five patients underwent pancreatectomy. Enucleation was not performed. One patient with metastases underwent partial hepatectomy. Four tumors had infiltration into the adjacent pancreatic parenchyma. The main pancreatic duct was incorporated into the tumor capsule wall in two patients. Surgical margins were negative in all patients without metastases. The median follow-up period was 37.8 months (range 7-74 months). One patient with metastases died at 60 months after surgery. All other patients were alive and showed no evidence of recurrence. Conclusion: Radical resection with negative margins should be performed for SPT. From the perspective of curability, we suggest that pancreatectomy is the first choice for SPT in children.
KW - Children
KW - Frantz tumor
KW - Pancreatectomy
KW - Solid pseudopapillary tumor of the pancreas
UR - http://www.scopus.com/inward/record.url?scp=84896736492&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84896736492&partnerID=8YFLogxK
U2 - 10.1007/s00383-014-3462-5
DO - 10.1007/s00383-014-3462-5
M3 - Article
C2 - 24442211
AN - SCOPUS:84896736492
VL - 30
SP - 253
EP - 257
JO - Pediatric Surgery International
JF - Pediatric Surgery International
SN - 0179-0358
IS - 3
ER -