Unusual setting of medical care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Orlando Jorge M. Torres, José Maria A. Moraes Junior, Anmara Moura Moraes, Camila Cristina S. Torres, Antonio Talvane T. Oliveira
Department of Digestive Surgery, Federal University of Maranhão, São Luiz, MA, Brazil
Am J Case Rep 2016; 17:894-898
Solid pseudopapillary tumor of the pancreas (Frantz tumor) is a rare, low-grade malignant neoplasm. Laparoscopic pancreatoduodenectomy is a good approach for tumors located in the pancreatic head. We present two successful cases in young women.
CASE REPORT: A 19-year-old woman was admitted to Department of Digestive Surgery due to epigastric pain, nausea, and vomiting. Computed tomography scan of the abdomen was performed, and a 3.0×2.2 cm solid tumor localized in the head of the pancreas was observed. After the diagnosis of Frantz tumor of the pancreas, the patient underwent laparoscopic pancreatoduodenectomy. Histopathology confirmed solid and cystic pseudopapillary tumor. The postoperative course was uneventful, and after 8 months the patient remained disease-free. An 18-year-old woman was admitted at the emergency room with abdominal pain, vomiting, and diarrhea. Computed tomography scans revealed a mass of 4.1×3.3 cm in size in the head of the pancreas consistent with a solid pseudopapillary tumor. Laparoscopic pancreatoduodenectomy was performed by two expert surgeons who divided the work: one did resection and the other did reconstruction. The patient was discharged at postoperative day 6 without complications, and during five months of follow-up the patient has been well and without disease.
CONCLUSIONS: Laparoscopic pancreatoduodenectomy can be performed safely in patients with Frantz tumor by surgeons with expertise in laparoscopic surgery, technical skill, and adequate equipment.
Keywords: Laparoscopy, Pancreatic Neoplasms, Pancreaticoduodenectomy, Surgical Procedures, Minimally Invasive