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Cirujano general
versión impresa ISSN 1405-0099
Resumen
PEREA COSIO, René Alberto et al. Solid pseudopapillary tumor of the pancreas or Frantz tumor. Report of two clinical case. Cir. gen [online]. 2021, vol.43, n.4, pp.265-270. Epub 09-Jun-2023. ISSN 1405-0099. https://doi.org/10.35366/109131.
Introduction:
the solid pseudopapillary tumor of the pancreas or “Frantz tumor” was described for the first time in 1959, it is one of the less frequent neoplasms representing 1-2% of pancreatic tumors. It predominates in young female patients. Most of the diagnoses with incidental imaging tests, these tumors cause few symptoms, however, epigastric abdominal pain, nausea, vomiting, early satiety, abdominal distension, weight loss and jaundice predominate. Computed tomography is the study of choice. The histological study confirms the diagnosis. Its main metastatic sites occur in the liver and spleen. Treatment in all cases is surgical. When the resection is complete the prognosis is excellent with a survival of 95% at five years. Two clinical cases are presented in female patients aged 16 and 25, respectively, evaluated in consultation for a clinical picture characterized by nonspecific abdominal pain, gastric fullness, and vomiting. The complementary studies of both cases by means of simple and contrasted Computed Tomography of the total abdomen and pelvis concluded the first case: a dependent tumor of the body and tail of the pancreas and; In the second mass dependent on splenic hilum, surgical management is performed in both cases, performing in bloc pancreatectomy and splenectomy, respectively. The pathology study confirmed the diagnosis of both.
Palabras llave : Frantz tumor; pseudopapillary tumor of the pancreas; metastasis; spleen; splenectomy; pancreatectomy; partial.