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Date Published: 16/12/2021
Abstract Views: 606
Views PDF: 395
DOI: https://doi.org/10.51298/vmj.v507i1.1367
Issue
Vol. 507 No. 1 (2021)
Section
Các bài báo
How to Cite
Minh Trọng, N. ., Kiều Hưng, N. ., Bá Đức, P. ., Thị Khuyên, N. ., Hoàng Hà, P. ., & Hồng Sơn, T. . (2021). RESULTS OF SURGICAL RESECTIONS FOR SOLID PSEUDOPAPILLARY NEOPLASMS IN THE BODY AND TAIL OF PANCREAS AT VIET DUC HOSPITAL. Vietnam Medical Journal, 507(1). https://doi.org/10.51298/vmj.v507i1.1367

RESULTS OF SURGICAL RESECTIONS FOR SOLID PSEUDOPAPILLARY NEOPLASMS IN THE BODY AND TAIL OF PANCREAS AT VIET DUC HOSPITAL

Nguyễn Minh Trọng1,, Nguyễn Kiều Hưng1, Phạm Bá Đức1, Nguyễn Thị Khuyên1, Phạm Hoàng Hà2, Trịnh Hồng Sơn2
1 K Hospital
2 Vietnam-Germany Friendship Hospital

Main Article Content

Abstract

Objectives: Results of surgical treatment of solid pseudopapillary neoplasms  (SPN) in the body and tail of the pancreas at Viet Duc Hospital. Subjects and methods: A cross-sectional descriptive study on 24 patients diagnosed with SPN in the body and tail of the pancreas who were operated at Viet Duc hospital from January 2016 to December 2020. Results: Of the 24 patient; 22 (91.7%) were females and 2 (8.3%) were males, ratio of males/females was 1/11. The mean age of SPN was 24 ± 10.2 years old (range, 7 – 45 years). The main reason for admission was abdominal pain (62.5%). The mean time to diagnosis was 3.7 months. Abdominal pain (75.0%), palpable tumor (8.3%). The computed tomography features showed that the tumor was mainly in the body of the pancreas (45.8%), solid structure (70.8%) and mean diameters of SPN was 5.8 ± 2.56 cm (range, 2.3 – 11.7cm). Surgical treatment included pancreatosplenectomy in 12 patients, spleen-preserving distal pancreatectomy in 6 pantients (25%), enucleation in 6 (25%) without any complications. Laparoscopic surgery had 4 cases (16.7%). 62.5% of patients had IHC to confirm SPN. Conclusion: SPN are classified as malignant exocrine pancreatic tumors when there is a high degree of dysplasia. Surgical resections remain the mainstay of treatment and survival after surgery is high. Regular monitoring for early detection of recurrence and metastasis also has a timely treatment attitude.

Article Details

Keywords

solid pseudopapillary tumor, pancreatectomy

References

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