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Case Reports
. 2016 Nov 28:17:894-898.
doi: 10.12659/ajcr.900792.

Performance of Laparoscopic Pancreatoduodenectomy for Solid Pseudopapillary Tumor of Pancreas

Orlando Jorge M Torres  1 , José Maria A Moraes Junior  1 , Anmara Moura Moraes  1 , Camila Cristina S Torres  1 , Antonio Talvane T Oliveira  2
Affiliations
Case Reports

Performance of Laparoscopic Pancreatoduodenectomy for Solid Pseudopapillary Tumor of Pancreas

Orlando Jorge M Torres et al. Am J Case Rep. .

Abstract

BACKGROUND Solid pseudopapillary tumor of the pancreas (Frantz tumor) is a rare, low-grade malignant neoplasm. Laparoscopic pancreatoduodenectomy is a good approach for tumors located in the pancreatic head. We present two successful cases in young women. CASE REPORT A 19-year-old woman was admitted to Department of Digestive Surgery due to epigastric pain, nausea, and vomiting. Computed tomography scan of the abdomen was performed, and a 3.0×2.2 cm solid tumor localized in the head of the pancreas was observed. After the diagnosis of Frantz tumor of the pancreas, the patient underwent laparoscopic pancreatoduodenectomy. Histopathology confirmed solid and cystic pseudopapillary tumor. The postoperative course was uneventful, and after 8 months the patient remained disease-free. An 18-year-old woman was admitted at the emergency room with abdominal pain, vomiting, and diarrhea. Computed tomography scans revealed a mass of 4.1×3.3 cm in size in the head of the pancreas consistent with a solid pseudopapillary tumor. Laparoscopic pancreatoduodenectomy was performed by two expert surgeons who divided the work: one did resection and the other did reconstruction. The patient was discharged at postoperative day 6 without complications, and during five months of follow-up the patient has been well and without disease. CONCLUSIONS Laparoscopic pancreatoduodenectomy can be performed safely in patients with Frantz tumor by surgeons with expertise in laparoscopic surgery, technical skill, and adequate equipment.

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Conflict of interest statement

Conflicts of Interest: None declared Conflict of interest statement The authors declare that they have no conflict of interest.

Figures

Figure 1.
Figure 1.
Solid pseudopapillary tumor in the head of the pancreas.
Figure 2.
Figure 2.
Specimen with tumor in the head of the pancreas.
Figure 3.
Figure 3.
Histopathology with pseudopapillary pattern, cystic degeneration, and hemorrhage (HE 100×).
Figure 4.
Figure 4.
Cystic and solid pseudopapillary tumor in the head of the pancreas.
Figure 5.
Figure 5.
Dissection of superior mesenteric vein and portal vein.
Figure 6.
Figure 6.
Specimen with tumor in the head of the pancreas.
Figure 7.
Figure 7.
Histopathology-confirmed surgical margin, well delimited (HE 100×).
Figure 8.
Figure 8.
Final aspect of the abdomen five months after the procedure.
See this image and copyright information in PMC

References

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