Published In
Turkish Journal of Gastroenterology
Volume 31 · Issue 12
Pages: 930-935
History
Published Online: December 15, 2020
Copyright © 2020 Alper Uğuz, Ömer Vedat Ünalp, Göksever Akpınar, Can Avni Karaca, Nevin Oruç, Deniz Nart, Funda Yılmaz, Ahmet Aydın, Ahmet Çoker
Alper Uğuz
Department of General Surgery, Ege University School of Medicine, İzmir, Turkey
Ömer Vedat Ünalp
Department of General Surgery, Ege University School of Medicine, İzmir, Turkey
Göksever Akpınar
Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, İzmir, Turkey
Can Avni Karaca
Department of General Surgery, Ege University School of Medicine, İzmir
Nevin Oruç
Department of Gastroenterology, Ege University Faculty of Medicine, İzmir, Turkey
Deniz Nart
Departments of Pathology, Ege University School of Medicine, İzmir
Funda Yılmaz
Departments of Pathology, Ege University School of Medicine, İzmir
Ahmet Aydın
İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları anabilim Dalı, İstanbul
Ahmet Çoker
Departments of General Surgery and Pathology, Ege University School of Medicine, İzmir
Uğuz, A., Ünalp, Ömer V., Akpınar, G., Karaca, C. A., Oruç, N., Nart, D., … Çoker, A. (2020). Solid pseudopapillary neoplasms of the pancreas: Case series with a review of the literature. Turkish Journal of Gastroenterology, 31(12), 930–935. https://doi.org/10.5152/tjg.2020.19227
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Abstract
Background/Aims: The solid pseudopapillary neoplasms are quite rare tumors of the pancreas, comprising roughly 1-2% of all pancreatic neoplasms. It has a low malignant potential and usually affects young females. Despite increasing number of articles in the last decade, there is still debate on the pathogenesis, malignant potential and optimal surgical strategy for the solid pseudopapillary neoplasms.
Materials and Methods : Medical recordings of 326 patients who were operated due to pancreatic mass were retrospectively analyzed. Patient demographics, presenting symptoms, surgical and pathologic characteristics of the tumor, postsurgical course, long-term survival, and other relevant data were extracted from patients' charts.
Results: Majority of the patients were female in consistency with the classic data in the literature. All the patients underwent curative intent resections. Tumors were commonly localized in the tail of the pancreas making distal pancreatectomy the most commonly performed surgical procedure. Mean tumor diameter was 5.8 centimeters with tumor sizes ranging from 1 to 19 cm.
Conclusion: The solid pseudopapillary neoplasms of the pancreas is a rare tumor with low malignant potential, which is more common in females of reproductive age, with abdominal pain being their most common presentation. The short-term outcomes in patients following surgical R0 resection are excellent. However, proximal placement of the tumor and female gender may have slightly worse prognosis. We hope that our findings from a series of patients represent a contribution to the existing literature on SPN, and authors declare their willingness to provide further details for future meta-analyses.
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Article Info
Published In
Journal
Turkish Journal of Gastroenterology
Volume / Issue
Volume 31 · Issue 12
Pages
930-935
History
Published Online
December 15, 2020
Copyright
Copyright (c) 2020 Alper Uğuz, Ömer Vedat Ünalp, Göksever Akpınar, Can Avni Karaca, Nevin Oruç, Deniz Nart, Funda Yılmaz, Ahmet Aydın, Ahmet Çoker
Affiliations
Alper Uğuz
Department of General Surgery, Ege University School of Medicine, İzmir, Turkey
Ömer Vedat Ünalp
Department of General Surgery, Ege University School of Medicine, İzmir, Turkey
Göksever Akpınar
Department of General Surgery, University of Health Sciences Tepecik Training and Research Hospital, İzmir, Turkey
Can Avni Karaca
Department of General Surgery, Ege University School of Medicine, İzmir
Nevin Oruç
Department of Gastroenterology, Ege University Faculty of Medicine, İzmir, Turkey
Deniz Nart
Departments of Pathology, Ege University School of Medicine, İzmir
Funda Yılmaz
Departments of Pathology, Ege University School of Medicine, İzmir
Ahmet Aydın
İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları anabilim Dalı, İstanbul
Ahmet Çoker
Departments of General Surgery and Pathology, Ege University School of Medicine, İzmir
Cite this Article
Uğuz, A., Ünalp, Ömer V., Akpınar, G., Karaca, C. A., Oruç, N., Nart, D., … Çoker, A. (2020). Solid pseudopapillary neoplasms of the pancreas: Case series with a review of the literature. Turkish Journal of Gastroenterology, 31(12), 930–935. https://doi.org/10.5152/tjg.2020.19227
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