Solid and papillary neoplasm of the pancreas report of a case and literature review

Abstract

Papillary and solid neoplasm of the pancreas in an extremely rare low grade malignant tumor believed to originate from pluripotential emhrionic stem cells. Predominantly occurs in women in second and third decade. We report a sixteen year old girl with non relenting abdominal pain on whom ultrasonography and computorized tomography revealed 10 cm mass located in the neighborhood of pancreatic tail. Magnetic resonans imaging confirmed that mans located in the pancreatic paranchima. On celiotomy pancreatic tumor with solid and cystic areas noted. Authors reviewed literature with particular interest in best surgical approach and long term prognosis of the disease. Patient externalized on 6 postoperative day without complication. On 12 month follow up no metastasis and recurrence observed. Younger patients tend to present with slightly smaller tumors, and metastatic disease appear to be age related, therefore disease duration and patient's age are the main prognostic indicators. Historically some patients have been treated by local excision; however radical resection minimizes the likelihood of recurrence and metastasis. When flie diagnosis of papillary and solid neoplasm is made or suspected, every attempt should be made for complete surgical removal since cure rate is high, chemotherapy and radiotherapy are of no use in its treatment. In any case, these tumors are slow growing and patients tend to survive for long periods.