Solid Pseudopapillary Neoplasm of Pancreas-A 10 Year Experience from a Tertiary Care Referral Centre

Abstract

Introduction Solid pseudopapillary tumours (SPN) of pancreas are increasingly being diagnosed and reported. Understanding the management of these tumours is getting better but still there are many unanswered questions. Materials and Methods this is a retrospective analysis of prospectively maintained surgical database at the department of GI Surgery and GI Oncology, Medanta, Gurugram, Haryana. The clinicopathological and surgical parameters of 34 patients who underwent surgery for SPN, over a 10 year period were analysed. Results All patients underwent surgical resection, which included 12 (35.3%) Whipple’s pancreatoduodenectomy, 4 (11.76%) central pancreatectomy, 11 (32.35%) spleen preserving distal pancreatectomy and 6 (17.65%) distal pancreatosplenectomy. Three patients were detected to have recurrence and were re-operated. Conclusion Surgical management of SPN yields good long term results despite recurrent or metastatic disease. Many deficiencies still remain in the understanding and management of this disease.