Robotic enucleation of a solid pseudopapillary neoplasm in a 9-year-old girl

Objective: Here we reported the case of a 9-year-old girl with no relevant past medical or surgical history. Solid pseudopapillary neoplasms (SPN) is a rare pancreatic tumor, which is often observed in females in their second or third decades, but it can also be found in pediatric age. It is conside...

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Main Authors: G. Spampinato, A. Pasqualetto, E. Santonocito, M. Palermo, G. Belfiore, A. Basile, A. Di Cataldo, V. Di Benedetto, M. Scuderi
Format: Article
Language:English
Published: Verduci Editore 2020-03-01
Series:World Cancer Research Journal
Subjects:
Online Access:https://www.wcrj.net/wp-content/uploads/sites/5/2020/03/e1502-Robotic-enucleation-of-a-solid-pseudopapillary-neoplasm-in-a-9-year-old-girl.pdf
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author G. Spampinato
A. Pasqualetto
E. Santonocito
M. Palermo
G. Belfiore
A. Basile
A. Di Cataldo
V. Di Benedetto
M. Scuderi
author_facet G. Spampinato
A. Pasqualetto
E. Santonocito
M. Palermo
G. Belfiore
A. Basile
A. Di Cataldo
V. Di Benedetto
M. Scuderi
author_sort G. Spampinato
collection DOAJ
description Objective: Here we reported the case of a 9-year-old girl with no relevant past medical or surgical history. Solid pseudopapillary neoplasms (SPN) is a rare pancreatic tumor, which is often observed in females in their second or third decades, but it can also be found in pediatric age. It is considered a low-grade malignant epithelial neoplasm with low metastatic rate and surgical resection represents the treatment of choice with an excellent long-term prognosis. Case report: A 9-year-old girl presented at our Emergency Department with a three days history of vomiting and vague abdominal pain. US showed an epi-mesogastric solid mass of 8 cm, diagnosis confirmed by the CT scan. A US-guided Tru-cut biopsy was performed obtaining the histologic diagnosis of Solid pseudopapillary neoplasm (Gruber-Frantz tumor). A Robotic enucleation of the neoplasm was performed, and histopathology confirmed an SPN with complete resection. In the case of low-malignant neoplasms like SPNs, enucleation, when feasible, represents the best surgical approach. Robotic procedures offer some technical and oncological advantages over minimally invasive techniques due to the stability of the operative field, the 3D and magnified vision and the articulated robotic arms. Conclusions: Robotic enucleation of solid pseudopapillary pancreatic tumors, when feasible, represents an excellent minimally invasive technique with a favorable long-term prognosis.
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spelling doaj.art-c58b533f5f664c698f82c1fa7d1bbf8a2022-12-21T18:34:15ZengVerduci EditoreWorld Cancer Research Journal2372-34162020-03-01710.32113/wcrj_20203_15021502Robotic enucleation of a solid pseudopapillary neoplasm in a 9-year-old girlG. Spampinato0A. Pasqualetto1E. Santonocito2M. Palermo3G. Belfiore4A. Basile5A. Di Cataldo6V. Di Benedetto7M. Scuderi8Department of Pediatric Surgery “Policlinico-Vittorio Emanuele” Hospital, Medical and Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, ItalyDepartment of Pediatric Surgery “Policlinico-Vittorio Emanuele” Hospital, Medical and Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, ItalyDiagnostic and Interventional Radiology, “Policlinico-Vittorio Emanuele” Hospital, Medical and Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, ItalyDiagnostic and Interventional Radiology, “Policlinico-Vittorio Emanuele” Hospital, Medical and Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, ItalyDiagnostic and Interventional Radiology, “Policlinico-Vittorio Emanuele” Hospital, Medical and Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, ItalyDiagnostic and Interventional Radiology, “Policlinico-Vittorio Emanuele” Hospital, Medical and Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, ItalyUnit of Pediatric Hematology and Oncology, Department of Clinical and Experimental Medicine, “Policlinico-Vittorio Emanuele” Hospital, University of Catania, Catania, ItalyDepartment of Pediatric Surgery “Policlinico-Vittorio Emanuele” Hospital, Medical and Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, ItalyDepartment of Pediatric Surgery “Policlinico-Vittorio Emanuele” Hospital, Medical and Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, Catania, ItalyObjective: Here we reported the case of a 9-year-old girl with no relevant past medical or surgical history. Solid pseudopapillary neoplasms (SPN) is a rare pancreatic tumor, which is often observed in females in their second or third decades, but it can also be found in pediatric age. It is considered a low-grade malignant epithelial neoplasm with low metastatic rate and surgical resection represents the treatment of choice with an excellent long-term prognosis. Case report: A 9-year-old girl presented at our Emergency Department with a three days history of vomiting and vague abdominal pain. US showed an epi-mesogastric solid mass of 8 cm, diagnosis confirmed by the CT scan. A US-guided Tru-cut biopsy was performed obtaining the histologic diagnosis of Solid pseudopapillary neoplasm (Gruber-Frantz tumor). A Robotic enucleation of the neoplasm was performed, and histopathology confirmed an SPN with complete resection. In the case of low-malignant neoplasms like SPNs, enucleation, when feasible, represents the best surgical approach. Robotic procedures offer some technical and oncological advantages over minimally invasive techniques due to the stability of the operative field, the 3D and magnified vision and the articulated robotic arms. Conclusions: Robotic enucleation of solid pseudopapillary pancreatic tumors, when feasible, represents an excellent minimally invasive technique with a favorable long-term prognosis.https://www.wcrj.net/wp-content/uploads/sites/5/2020/03/e1502-Robotic-enucleation-of-a-solid-pseudopapillary-neoplasm-in-a-9-year-old-girl.pdfgruber-frantz tumorpancreatic tumortru-cut biopsyrobotic surgerytumor enucleationsolid pseudopapillary tumor
spellingShingle G. Spampinato
A. Pasqualetto
E. Santonocito
M. Palermo
G. Belfiore
A. Basile
A. Di Cataldo
V. Di Benedetto
M. Scuderi
Robotic enucleation of a solid pseudopapillary neoplasm in a 9-year-old girl
World Cancer Research Journal
gruber-frantz tumor
pancreatic tumor
tru-cut biopsy
robotic surgery
tumor enucleation
solid pseudopapillary tumor
title Robotic enucleation of a solid pseudopapillary neoplasm in a 9-year-old girl
title_full Robotic enucleation of a solid pseudopapillary neoplasm in a 9-year-old girl
title_fullStr Robotic enucleation of a solid pseudopapillary neoplasm in a 9-year-old girl
title_full_unstemmed Robotic enucleation of a solid pseudopapillary neoplasm in a 9-year-old girl
title_short Robotic enucleation of a solid pseudopapillary neoplasm in a 9-year-old girl
title_sort robotic enucleation of a solid pseudopapillary neoplasm in a 9 year old girl
topic gruber-frantz tumor
pancreatic tumor
tru-cut biopsy
robotic surgery
tumor enucleation
solid pseudopapillary tumor
url https://www.wcrj.net/wp-content/uploads/sites/5/2020/03/e1502-Robotic-enucleation-of-a-solid-pseudopapillary-neoplasm-in-a-9-year-old-girl.pdf
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