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SOLID PSEUDOPAPILLARY NEOPLASM OF THE PANCREAS

Overview of attention for article published in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, April 2016
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Title
SOLID PSEUDOPAPILLARY NEOPLASM OF THE PANCREAS
Published in
Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, April 2016
DOI 10.1590/0102-6720201600020007
Pubmed ID
Authors

Carlotto, Jorge Roberto Marcante, Torrez, Franz Robert Apodaca, Gonzalez, Adriano Miziara, Linhares, Marcelo Moura, Triviño, Tarcisio, Herani-Filho, Benedito, Goldenberg, Alberto, Lopes-Filho, Gaspar de Jesus, Lobo, Edson José

Abstract

The solid pseudopapillary neoplasm is a rare tumor of the pancreas. However, it´s etiology still maintain discussions. To analyze it´s clinical data, diagnosis and treatment. A retrospective study of medical records of all patients treated from January 1997 until July 2015. Were identified 17 cases. Most patients were women (94.11%) and the average age was 32.88 years. The main complaint was abdominal mass (47.05%). The most frequent location was in the body/tail of the pancreas (72.22%) and the most frequently performed surgery was distal pancreatectomy with splenectomy (64.70%). No patient had metastases at diagnosis. Conservative surgery for pancreatic parenchyma was performed in only three cases. The rate of complications in the postoperative period was 35.29% and the main complication was pancreatic fistula (29.41%). No patient underwent adjuvant treatment. The treatment is surgical and the most common clinical presentation is abdominal mass. Distal pancreatectomy with splenectomy was the most frequently performed surgery for its treatment. A neoplasia sólida pseudopapilar é tumor raro de pâncreas de tratamento cirúrgico. No entanto, sua causa ainda gera discussões. Analisar os dados clínicos, do diagnóstico e do tratamento da dessa neoplasia. Estudo retrospectivo com dados médicos de pacientes tratados entre janeiro de 1997 a julho de 2015. Foram identificados 17 casos. A maioria era de mulheres (94,11%) e a média de idade foi de 32,88 anos. A principal queixa era massa abdominal (47,05%). A localização mais frequente era no corpo/cauda do pâncreas (72,22%) e a operação mais realizada foi a pancreatectomia corpocaudal com esplenectomia (64,70%). Nenhum caso apresentou metástase no momento do diagnóstico. Operação conservadora de parênquima pancreático foi realizada em apenas três casos. A taxa de complicações no pós-operatório foi de 35,29% e a principal complicação foi fístula pancreática (29,41%). Nenhum paciente realizou adjuvância no seguimento. A mais comum apresentação clínica da neoplasia sólida pseudopapilar é de massa abdominal. Ela é de tratamento cirúrgico e pancreatectomia corpocaudal com esplenectomia é o procedimento mais realizado para seu tratamento.

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Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 8 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 2 25%
Librarian 1 13%
Student > Doctoral Student 1 13%
Professor 1 13%
Student > Ph. D. Student 1 13%
Other 1 13%
Unknown 1 13%
Readers by discipline Count As %
Medicine and Dentistry 6 75%
Unknown 2 25%