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Journal of Gastronenterology and Digestive Diseases | Volume 3
J u n e 2 5 - 2 6 , 2 0 1 8 | D u b l i n , I r e l a n d
GASTROENTEROLOGY
International Conference on
Diana Pescaru et al., J Gastroenterol Dig Dis 2018, Volume 3
SOLID PSEUDOPAPILLARY NEOPLASM
OF THE PANCREAS - CASE REPORT OF
A RARE TUMOUR
Diana Pescaru, L Mosoia Plaviciosu, I Gilca, Th Artenie, F
Bold and T Calu
Central Military Emergency University Hospital, Romania
Solid pseudopapillary neoplasm of the pancreas represents a rare form
of pancreatic tumour. It is frequently found in young women. SPEN it is
considered a border-line tumour, with low grade malignant potential and with
curable outcome if complete surgical resection is performed. We present a
case of a 26 years old woman admitted in our unit for progressive epigastric
pain radiating to the left hypocondrium, with no relationship to food or bowel
movements. Laboratory ndings, including tumour markers were in normal
range. Imaging ndings (CT and MRI) revealed a voluminous tumoral mass
(11/12 centimetres) located in the body and tail of pancreas with extension
to the splenic hilum, amprenting the posterior gastric wall and left kidney
hilum, highly suggestive for solid pseudopapillary tumour of the pancreas,
con rmed by the EUS-FNA. We performed a distal splenopancreatectomy and
the pathological report and immunohistochemical evaluation were positive
for solid pseudopapillary tumour of the pancreas. Postoperative evolution
was uneventful. There was no need of adjuvant treatment since the excision
was complete. The patient is on regular follow-up. Although a rare pathologic
entity, pseudopapillary neoplasm of the pancreas (Frantz tumour) should be
considered if found in young women patients. Even though, it usually has
good biological outcome, the standard of care in treating it often implies
major pancreatic resections.
Diana Pescaru is a graduate of “Carol Davila”
University of Medicine and Pharmacy in Ro-
mania. She is a third year trainee of the General
Surgery Residency Program at the Central Mili-
tary Emergency University Hospital after having
completed her first two and a half years of resi-
dency at “Sfanta Maria” Surgery and Transplan-
tation Clinic in Bucharest. In her time studying
so far she has developed a huge interest in one
of the most common causes of death world-
wide – Cancer. Her surgical practice focuses
on the Upper Gastrointestinal which heavily
involves hepatobiliary and pancreatic surgery
also including liver transplant procedures. She
also has experience in other surgical oncology
specialties such as Colorectal, Gynaecological
and Breast. She has had several participations
in National Congresses and Conferences in-
cluding articles in various National Publications.
At the beginning of her surgical career she aims
to broaden her knowledge and skills by pursu-
ing fellowships, congresses and other scientific
seminars abroad.
BIOGRAPHY