Multidisciplinary treatment of advanced or recurrent solid pseudopapillary neoplasm of the pancreas: three case reports

Abstract Background Solid pseudopapillary neoplasm (SPN) is a rare pancreatic tumor that predominantly affects young females. Prognosis is excellent; however, 10–15% of patients show metastasis at the time of surgery or develop tumor recurrence after pancreatectomy. Case presentation We reviewed the...

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Main Authors: Kiyonori Tanoue, Yuko Mataki, Hiroshi Kurahara, Tetsuya Idichi, Yota Kawasaki, Yoichi Yamasaki, Yoshiaki Kita, Yuto Hozaka, Hideyuki Oi, Akihiro Nakajo, Takaaki Arigami, Kosei Maemura, Takao Ohtsuka
Format: Article
Language:English
Published: SpringerOpen 2022-01-01
Series:Surgical Case Reports
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Online Access:https://doi.org/10.1186/s40792-022-01358-0
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author Kiyonori Tanoue
Yuko Mataki
Hiroshi Kurahara
Tetsuya Idichi
Yota Kawasaki
Yoichi Yamasaki
Yoshiaki Kita
Yuto Hozaka
Hideyuki Oi
Akihiro Nakajo
Takaaki Arigami
Kosei Maemura
Takao Ohtsuka
author_facet Kiyonori Tanoue
Yuko Mataki
Hiroshi Kurahara
Tetsuya Idichi
Yota Kawasaki
Yoichi Yamasaki
Yoshiaki Kita
Yuto Hozaka
Hideyuki Oi
Akihiro Nakajo
Takaaki Arigami
Kosei Maemura
Takao Ohtsuka
author_sort Kiyonori Tanoue
collection DOAJ
description Abstract Background Solid pseudopapillary neoplasm (SPN) is a rare pancreatic tumor that predominantly affects young females. Prognosis is excellent; however, 10–15% of patients show metastasis at the time of surgery or develop tumor recurrence after pancreatectomy. Case presentation We reviewed the clinical course of three patients with advanced or recurrent SPN and subsequently underwent multidisciplinary treatment at our institution between 2002 and 2019. The primary tumor was resected in all three patients, and metastases were also resected if indicated. Intensive combined therapy, including re-resection, chemotherapy, ablation, arterial chemoembolization, and radiation therapy, allowed all patients to survive for a long time. The literature review showed that resection seems to be more effective than other treatments for metastatic SPN. Conclusions Multidisciplinary treatment, including resection, may improve the prognosis of patients with SPN with recurrence or metastasis.
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spelling doaj.art-2b1e3791cb3f432286ebb1f3521583292022-12-21T21:20:12ZengSpringerOpenSurgical Case Reports2198-77932022-01-01811610.1186/s40792-022-01358-0Multidisciplinary treatment of advanced or recurrent solid pseudopapillary neoplasm of the pancreas: three case reportsKiyonori Tanoue0Yuko Mataki1Hiroshi Kurahara2Tetsuya Idichi3Yota Kawasaki4Yoichi Yamasaki5Yoshiaki Kita6Yuto Hozaka7Hideyuki Oi8Akihiro Nakajo9Takaaki Arigami10Kosei Maemura11Takao Ohtsuka12Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Onco-Biological Surgery, Kagoshima University Graduate School of Medical and Dental SciencesDepartment of Digestive Surgery, Kagoshima City HospitalDepartment of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental SciencesAbstract Background Solid pseudopapillary neoplasm (SPN) is a rare pancreatic tumor that predominantly affects young females. Prognosis is excellent; however, 10–15% of patients show metastasis at the time of surgery or develop tumor recurrence after pancreatectomy. Case presentation We reviewed the clinical course of three patients with advanced or recurrent SPN and subsequently underwent multidisciplinary treatment at our institution between 2002 and 2019. The primary tumor was resected in all three patients, and metastases were also resected if indicated. Intensive combined therapy, including re-resection, chemotherapy, ablation, arterial chemoembolization, and radiation therapy, allowed all patients to survive for a long time. The literature review showed that resection seems to be more effective than other treatments for metastatic SPN. Conclusions Multidisciplinary treatment, including resection, may improve the prognosis of patients with SPN with recurrence or metastasis.https://doi.org/10.1186/s40792-022-01358-0Solid pseudopapillary neoplasmFrantz tumorMalignancyMultidisciplinary treatment
spellingShingle Kiyonori Tanoue
Yuko Mataki
Hiroshi Kurahara
Tetsuya Idichi
Yota Kawasaki
Yoichi Yamasaki
Yoshiaki Kita
Yuto Hozaka
Hideyuki Oi
Akihiro Nakajo
Takaaki Arigami
Kosei Maemura
Takao Ohtsuka
Multidisciplinary treatment of advanced or recurrent solid pseudopapillary neoplasm of the pancreas: three case reports
Surgical Case Reports
Solid pseudopapillary neoplasm
Frantz tumor
Malignancy
Multidisciplinary treatment
title Multidisciplinary treatment of advanced or recurrent solid pseudopapillary neoplasm of the pancreas: three case reports
title_full Multidisciplinary treatment of advanced or recurrent solid pseudopapillary neoplasm of the pancreas: three case reports
title_fullStr Multidisciplinary treatment of advanced or recurrent solid pseudopapillary neoplasm of the pancreas: three case reports
title_full_unstemmed Multidisciplinary treatment of advanced or recurrent solid pseudopapillary neoplasm of the pancreas: three case reports
title_short Multidisciplinary treatment of advanced or recurrent solid pseudopapillary neoplasm of the pancreas: three case reports
title_sort multidisciplinary treatment of advanced or recurrent solid pseudopapillary neoplasm of the pancreas three case reports
topic Solid pseudopapillary neoplasm
Frantz tumor
Malignancy
Multidisciplinary treatment
url https://doi.org/10.1186/s40792-022-01358-0
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