SOLID PSEUDOPAPILLARY NEOPLASM OF THE PANCREAS - CASE REPORT OF A RARE TUMOUR
International Conference on Gastroenterology
June 25-26, 2018 | Dublin, Ireland
Diana Pescaru, L Mosoia Plaviciosu, I Gilca, Th Artenie, F Bold and T Calu
Central Military Emergency University Hospital, Romania
Scientific Tracks Abstracts : J Gastroenterol Dig Dis
Abstract:
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 findings, including tumour markers were in normal range. Imaging findings (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, confirmed 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.
Biography:
Diana Pescaru is a graduate of “Carol Davila” University of Medicine and Pharmacy in Romania. She is a third year trainee of the General Surgery Residency Program at the Central Military Emergency University Hospital after having completed her first two and a half years of residency at “Sfanta Maria” Surgery and Transplantation Clinic in Bucharest. In her time studying so far she has developed a huge interest in one of the most common causes of death worldwide – 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 including articles in various National Publications. At the beginning of her surgical career she aims to broaden her knowledge and skills by pursuing fellowships, congresses and other scientific seminars abroad.
Email:pescaru_diana90@yahoo.com
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