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...
Main Authors: | , , , , , , , , |
---|---|
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 |
_version_ | 1819124277673197568 |
---|---|
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. |
first_indexed | 2024-12-22T07:21:41Z |
format | Article |
id | doaj.art-c58b533f5f664c698f82c1fa7d1bbf8a |
institution | Directory Open Access Journal |
issn | 2372-3416 |
language | English |
last_indexed | 2024-12-22T07:21:41Z |
publishDate | 2020-03-01 |
publisher | Verduci Editore |
record_format | Article |
series | World Cancer Research Journal |
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 |
work_keys_str_mv | AT gspampinato roboticenucleationofasolidpseudopapillaryneoplasmina9yearoldgirl AT apasqualetto roboticenucleationofasolidpseudopapillaryneoplasmina9yearoldgirl AT esantonocito roboticenucleationofasolidpseudopapillaryneoplasmina9yearoldgirl AT mpalermo roboticenucleationofasolidpseudopapillaryneoplasmina9yearoldgirl AT gbelfiore roboticenucleationofasolidpseudopapillaryneoplasmina9yearoldgirl AT abasile roboticenucleationofasolidpseudopapillaryneoplasmina9yearoldgirl AT adicataldo roboticenucleationofasolidpseudopapillaryneoplasmina9yearoldgirl AT vdibenedetto roboticenucleationofasolidpseudopapillaryneoplasmina9yearoldgirl AT mscuderi roboticenucleationofasolidpseudopapillaryneoplasmina9yearoldgirl |