A case of repeat hepatectomy for liver metastasis from solid pseudopapillary neoplasm of the pancreas: a case report.

Autor: Morito, Atsushi, Eto, Kojiro, Matsuishi, Kozue, Hamasaki, Hirokazu, Morita, Keisuke, Ikeshima, Satoshi, Horino, Kei, Shimada, Shinya, Baba, Hideo
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Zdroj: Surgical Case Reports; 3/1/2021, Vol. 7 Issue 1, p1-4, 4p
Abstrakt: Background: Solid pseudopapillary neoplasm of the pancreas is a rare tumor in young women, metastasizing in only 5–15% of cases, and most commonly to the liver. Although treatment guidelines have not been established, surgical resection is usually performed. We report a rare case of repeat hepatectomy for liver metastases after distal pancreatectomy with solid pseudopapillary neoplasm. Case presentation: The patient was a 71-year-old woman who underwent distal pancreatectomy for solid pseudopapillary neoplasm, and liver metastasis occurred 4 years after the first surgery. Partial liver resection was performed for four liver metastases, and histopathological examination revealed a diagnosis of liver metastasis from solid pseudopapillary neoplasm. However, 18 months later, liver metastases were detected again; three tumors were identified, and partial resection was performed, which has provided 18 months' recurrence-free survival. Conclusions: Long-term prognosis can be expected following R0 resection for resectable liver metastasis from solid pseudopapillary neoplasm. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index