Solid and Papillary Epithelial Neoplasms of the Pancreas
- Author(s)
- 강선희; 김형수; 박효원; 박찬진; 강구정; 임태진
- Keimyung Author(s)
- Kang, Sun Hee; Kang, Koo Jeong; Lim, Tae Jin
- Department
- Dept. of Surgery (외과학)
- Journal Title
- 한국간담췌외과학회지
- Issued Date
- 2000
- Volume
- 4
- Issue
- 2
- Keyword
- Solid and Papillary Epithelial Neoplasm of the Pancreas
- Abstract
- Background : Solid and papillary epithelial neoplasm(SPEN) of the pancreas is a rare tumor with low
grade malignant potential and usually found in young female patients. The prognosis of this lesion is
reported to be much more favorable than other pancreatic neoplasms.
Methods : We report four cases of SPENs of the pancreas treated at the department of surgery,
Keimyung University Dongsan Medical Center. Three were women and one was a man and their
mean age at the time of surgery was 19 years with the ranges between 11 and 29 years of age. Two
patients were admitted with a palpable abdominal mass and another two patients with abdominal pain.
Results of laboratory studies including serum amylases and tumor markers were all within normal limits.
Diagnosis was made preoperatively in three patients by MRI and needle biopsies. Tumors were
located in the head portion in three patients and in the body of the pancreas in one patient.
Results : All patients underwent complete resection which involved three enucleations and one pancreaticoduodenectomy.
All patients are alive at the time of this report with mean follow up period of
69.5 month (the ranges between 8 and 105 months) without evidence of recurrence.
Conclusion : In our experience, complete resection of this neoplasm is the treatment of choice and
the prognosis is excellent.
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