FREE SURGICAL MARGIN IN A TUMOR OF THE TAIL OF THE PÁNCREAS cristiangar789@gmail.com

PW06-03

FREE SURGICAL MARGIN IN A TUMOR OF THE TAIL OF THE PÁNCREAS

6

 

 

 

 

Mexico

Oral or Poster

Solid pseudopapillary neoplasms (SPTs) of the pancreas are rare, low-grade malignant epithelial tumors that represent less than 2% of exocrine pancreatic neoplasms. They primarily affect young women and usually have an insidious clinical course with few symptoms. The prognosis is excellent after complete surgical resection; therefore, early diagnosis and conservative treatment are essential to avoid aggressive procedures.

This case report was prepared following the CARE methodological guidelines. Relevant clinical data, imaging studies, intraoperative findings, histopathological description, postoperative course, and long-term follow-up were documented. The patient and her family provided written informed consent, maintaining their anonymity.

A 17-year-old patient presented with left upper quadrant pain, postprandial fullness, sporadic vomiting, and weight loss. CT revealed a solid lesion measuring 16 × 14 × 12 cm in the body and tail of the pancreas, with no metastasis. A distal pancreatectomy was performed with spleen preservation using a mechanical stapler, reducing the risk of pancreatic fistula. Tumor markers were normal. Histopathological analysis revealed no poor prognostic factors (such as vascular or perineural invasion), indicating a favorable clinical course.

SPTs should be included in the differential diagnosis of pancreatic masses in young women. Conservative surgical management, with spleen preservation when possible, and adequate follow-up allow for a high survival rate with low postoperative morbidity.