A Study of Solid Pseudopapillary Neoplasm of the Pancreas in Children

  • Nakayama Noriyoshi
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Watarai Yu
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Sato Hideaki
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Tayama Ai
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Osawa Shunsuke
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Fukunaga Natsu
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Kimura Shouta
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Adachi Sei
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine
  • Tominaga Miri
    Division of Pediatric Surgery, Department of Surgery, Showa University School of Medicine

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Other Title
  • 当科における小児膵solid-pseudopapillary neoplasmの検討
  • トウ カ ニ オケル ショウニスイsolid-pseudopapillary neoplasm ノ ケントウ

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Abstract

<p>Solid pseudopapillary neoplasm (SPN) of the pancreas often occurs in young women. In this study, we investigated the treatment outcomes of SPN in our department. We retrospectively reviewed the medical records of three children with SPN treated in our department between 2015 and 2021. All three patients were girls who were 10–12 years of age at the time of surgery. Their symptoms included abdominal pain, vomiting, fever, and diarrhea. The tumor was located in the pancreatic tail in two patients and the pancreatic body in one patient. Two patients underwent distal pancreatectomy without splenectomy and one patient underwent distal pancreatectomy with splenectomy. In all the patients, the postoperative course was uneventful. The postoperative hospital stay was 9–12 days. The follow-up period was 18–78 months. All three patients were alive without recurrence. The surgical outcomes of SPN were favorable in our series. Complete resection of SPN provides a favorable prognosis, but spleen preservation should be considered in the surgical procedure.</p>

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