MDT discussion of a case of solid pseudopapillary tumor of pancreas_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Fan ^1,2 , MA Rong ¹ ,  GONG Jianping ¹

1. Department of Hepatobiliary Surgery, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, P. R. China;
2. Department of Hepatobiliary Surgery, Chishui People’s Hospital, Chishui, Guizhou 564700, P. R. China;

Corresponding author：

GONG Jianping, Email: gongjianping11@126.com

Keywords：

solid pseudopapillary tumor of pancreas; diagnosis; multiple disciplinary team

DOI：

10.7507/1007-9424.201904037

Video：

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Objective To improve recognization and effect of surgical treatment for solid pseudopapillary tumor of pancreas (SPTP) through multidisciplinary team (MDT) discussion.Methods The clinical data of 1 case of SPTP treated in The Second Affiliated Hospital of Chongqing Medical University were discussed by the MDT. The best operation scheme was selected and the patient was followed-up.Results The preoperative CT scan showed that the occupation on the body and tail of pancreas and suggested it was the tumorous lesions. After the MDT discussion, the preoperative diagnosis was still not completely clear. However, the decision was made to resect occupation. After the operation, the pathological examination showed it was the SPTP. There was no recurrence or metastasis with the follow-up of 6 months.Conclusions Preoperative diagnosis of SPTP is difficult, especially for atypical SPTP. Through MDT discussion, it can help to reduce misdiagnosis rate and formulate optimal surgical treatment strategy.

Citation： YANG Fan, MA Rong, GONG Jianping. MDT discussion of a case of solid pseudopapillary tumor of pancreas. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(9): 1106-1109. doi: 10.7507/1007-9424.201904037 Copy

1.	Carlotto JR, Torrez FR, Gonzalez AM, et al. Solid pseudopapillary neoplasm of the pancreas. Arq Bras Cir Dig, 2016, 29(2): 93-96.
2.	Lanke G, Ali FS, Lee JH. Clinical update on the management of pseudopapillary tumor of pancreas. World J Gastrointest Endosc, 2018, 10(9): 145-155.
3.	Naar L, Spanomichou DA, Mastoraki A, et al. Solid pseu-dopapillary neoplasms of the pancreas: A surgical and genetic Enigma. World J Surg, 2017, 41(7): 1871-1881.
4.	Rishi A, Goggins M, Wood LD, et al. Pathological and molecular evaluation of pancreatic neoplasms. Semin Oncol, 2015, 42(1): 28-39.
5.	Marchegiani G, Andrianello S, Massignani M, et al. Solid pseudopapillary tumors of the pancreas: Specific pathological features predict the likelihood of postoperative recurrence. J Surg Oncol, 2016, 114(5): 597-601.
6.	Schlarb HC, Schlarb AC, Ubert HA, et al. Solid pseudopapillary tumor of the pancreas. W V Med J, 2015, 111(2): 22-24.
7.	Ganeshan DM, Paulson E, Tamm EP, et al. Solid pseudo-papillary tumors of the pancreas: current update. Abdom Imaging, 2013, 38(6): 1373-1382.
8.	Dinarvand P, Lai J. Solid pseudopapillary neoplasm of the pancreas: a rare entity with unique features. Arch Pathol Lab Med, 2017, 141(7): 990-995.
9.	Lima CA, Silva A, Alves C, et al. Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment. Rev Assoc Med Bras (1992), 2017, 63(3): 219-223.
10.	杨含, 李宁, 邓文英, 等. 胰腺实性假乳头状肿瘤的临床特征手术策略及预后. 中华肿瘤杂志, 2017, 39(3): 211-215.
11.	Terris B, Cavard C. Diagnosis and molecular aspects of solid-pseudopapillary neoplasms of the pancreas. Semin Diagn Pathol, 2014, 31(6): 484-490.
12.	Singh A, Agarwal AA, Sonkar AA, et al. Solid pseudopapillary tumour of pancreas. BMJ Case Rep, 2014, 2014. pii: bcr2013200747.
13.	Choi JY, Kim MJ, Kim JH, et al. Solid pseudopapillary tumor of the pancreas: typical and atypical manifestations. AJR Am J Roentgenol, 2006, 187(2): W178-W186.
14.	Li DL, Li HS, Xu YK, et al. Solid pseudopapillary tumor of the pancreas: clinical features and imaging findings. Clin Imaging, 2018, 48: 113-121.
15.	Guerrache Y, Soyer P, Dohan A, et al. Solid-pseudopapillary tumor of the pancreas: MR imaging findings in 21 patients. Clin Imaging, 2014, 38(4): 475-482.
16.	Kersting S, Janot MS, Munding J, et al. Rare solid tumors of the pancreas as differential diagnosis of pancreatic adenocarcinoma. JOP, 2012, 13(3): 268-277.
17.	Wang P, Wei J, Wu J, et al. Diagnosis and treatment of solid-pseudopapillary tumors of the pancreas: A single institution experience with 97 cases. Pancreatology, 2018, 18(4): 415-419.
18.	汤小龙, 张建伟, 陈应泰, 等. 胰腺实性假乳头状癌 11 例临床诊治分析. 中华医学杂志, 2014, 94(2): 96-99.
19.	Álvarez-Cuenllas B, Vaquero LM, Pisabarros C, et al. Frantz’s tumor or solid-pseudopapillary tumor of the pancreas. Gastroenterol Hepatol, 2015, 38(7): 468-470.
20.	朱时雨, 许新才, 程坤, 等. 胰腺实性假乳头状瘤的特点及诊疗分析. 中国普外基础与临床杂志, 2018, 25(7): 825-831.
21.	王建华, 王中秋. 胰腺实性-假乳头状瘤临床研究新进展. 中国临床研究, 2018, 31(11): 1592-1594, 1597.

1. Carlotto JR, Torrez FR, Gonzalez AM, et al. Solid pseudopapillary neoplasm of the pancreas. Arq Bras Cir Dig, 2016, 29(2): 93-96.
2. Lanke G, Ali FS, Lee JH. Clinical update on the management of pseudopapillary tumor of pancreas. World J Gastrointest Endosc, 2018, 10(9): 145-155.
3. Naar L, Spanomichou DA, Mastoraki A, et al. Solid pseu-dopapillary neoplasms of the pancreas: A surgical and genetic Enigma. World J Surg, 2017, 41(7): 1871-1881.
4. Rishi A, Goggins M, Wood LD, et al. Pathological and molecular evaluation of pancreatic neoplasms. Semin Oncol, 2015, 42(1): 28-39.
5. Marchegiani G, Andrianello S, Massignani M, et al. Solid pseudopapillary tumors of the pancreas: Specific pathological features predict the likelihood of postoperative recurrence. J Surg Oncol, 2016, 114(5): 597-601.
6. Schlarb HC, Schlarb AC, Ubert HA, et al. Solid pseudopapillary tumor of the pancreas. W V Med J, 2015, 111(2): 22-24.
7. Ganeshan DM, Paulson E, Tamm EP, et al. Solid pseudo-papillary tumors of the pancreas: current update. Abdom Imaging, 2013, 38(6): 1373-1382.
8. Dinarvand P, Lai J. Solid pseudopapillary neoplasm of the pancreas: a rare entity with unique features. Arch Pathol Lab Med, 2017, 141(7): 990-995.
9. Lima CA, Silva A, Alves C, et al. Solid pseudopapillary tumor of the pancreas: Clinical features, diagnosis and treatment. Rev Assoc Med Bras (1992), 2017, 63(3): 219-223.
10. 杨含, 李宁, 邓文英, 等. 胰腺实性假乳头状肿瘤的临床特征手术策略及预后. 中华肿瘤杂志, 2017, 39(3): 211-215.
11. Terris B, Cavard C. Diagnosis and molecular aspects of solid-pseudopapillary neoplasms of the pancreas. Semin Diagn Pathol, 2014, 31(6): 484-490.
12. Singh A, Agarwal AA, Sonkar AA, et al. Solid pseudopapillary tumour of pancreas. BMJ Case Rep, 2014, 2014. pii: bcr2013200747.
13. Choi JY, Kim MJ, Kim JH, et al. Solid pseudopapillary tumor of the pancreas: typical and atypical manifestations. AJR Am J Roentgenol, 2006, 187(2): W178-W186.
14. Li DL, Li HS, Xu YK, et al. Solid pseudopapillary tumor of the pancreas: clinical features and imaging findings. Clin Imaging, 2018, 48: 113-121.
15. Guerrache Y, Soyer P, Dohan A, et al. Solid-pseudopapillary tumor of the pancreas: MR imaging findings in 21 patients. Clin Imaging, 2014, 38(4): 475-482.
16. Kersting S, Janot MS, Munding J, et al. Rare solid tumors of the pancreas as differential diagnosis of pancreatic adenocarcinoma. JOP, 2012, 13(3): 268-277.
17. Wang P, Wei J, Wu J, et al. Diagnosis and treatment of solid-pseudopapillary tumors of the pancreas: A single institution experience with 97 cases. Pancreatology, 2018, 18(4): 415-419.
18. 汤小龙, 张建伟, 陈应泰, 等. 胰腺实性假乳头状癌 11 例临床诊治分析. 中华医学杂志, 2014, 94(2): 96-99.
19. Álvarez-Cuenllas B, Vaquero LM, Pisabarros C, et al. Frantz’s tumor or solid-pseudopapillary tumor of the pancreas. Gastroenterol Hepatol, 2015, 38(7): 468-470.
20. 朱时雨, 许新才, 程坤, 等. 胰腺实性假乳头状瘤的特点及诊疗分析. 中国普外基础与临床杂志, 2018, 25(7): 825-831.
21. 王建华, 王中秋. 胰腺实性-假乳头状瘤临床研究新进展. 中国临床研究, 2018, 31(11): 1592-1594, 1597.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

MDT discussion of a case of solid pseudopapillary tumor of pancreas

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