A rare case report of Solid Pseudopapillary Tumor of the pancreas with portal hypertension

Reddy, Asha; Sanniyasi, Saravanan; George, Dilip Joseph; Narayanan, CS

doi:10.1016/j.ijscr.2016.03.030

Cited by 4 publications

(4 citation statements)

References 17 publications

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“…No presente caso, a paciente iniciou o quadro com uma hemorragia digestiva alta, não sendo encontrados com facilidade na literatura casos similares na faixa pediátrica envolvendo neoplasia pancreática e hemorragia digestiva alta. Condição semelhante foi relatada em paciente adulta que também possuía comprometimento da veia esplênica e aparecimento de varizes de fundo gástrico, porém sem apresentar hematêmese como manifestação clínica 6 .…”

Section: Discussionunclassified

“…A linfadenectomia é indicada em tumores maiores de 5 cm pelo risco de malignidade 2 . A presença de hipertensão portal pode ser um agravante no momento da cirurgia, porém, com o adequado estudo vascular pré-operatório e cautela intraoperatória, a ressecção pode ser realizada com perda mínima de sangue 6 . Em casos de hipertensão portal sinistra com hemorragia digestiva, o tratamento mais recomendado é associar esplenectomia para descomprimir o sistema venoso portal.…”

Section: Discussionunclassified

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Associação entre Tumor Sólido Pseudopapilar Pancreático (Tumor de Frantz) e Hipertensão Portal Esquerda em Pediatria: Relato de Caso

De Azevedo Souza Junior,

Kuerten Pamplona da Silva,

Cerveira Cardoso Vilela

et al. 2023

Rev. Bras. Cancerol.

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Introdução: O tumor sólido pseudopapilar do pâncreas é uma patologia rara responsável por menos de 3% de todos os tumoresexócrinos pancreáticos. Tal tumor ocorre principalmente em mulheres jovens, entre 20 e 30 anos, e geralmente possui baixo potencialde malignidade e causa sintomas apenas quando são de grandes volumes. Relato do caso: Paciente feminina, 14 anos, iniciou quadro de hematêmese, sendo identificadas varizes de fundo gástrico. Após realizar tomografia computadorizada, evidenciou-se massa hipodensa de comportamento hipovascular na cauda pancreática, levantando-se a suspeita de neoplasia pancreática primária, promovendo compressão da veia esplênica. A paciente foi submetida à pancreatectomia corpo-caudal associada à esplenectomia em fevereiro de 2021. A biópsia do nódulo hepático, evidenciado em ultrassonografia abdominal, confirmou metástase, e a paciente foi submetida à posterior segmentectomia hepática em julho de 2021. Conclusão: O caso relatado é extremamente raro por tratar-se de um tumor de Frantz na infância associado à hipertensão portal esquerda por compressão tumoral da veia esplênica e que, por consequência, apresentou hemorragia digestiva alta como manifestação clínica inicial, não sendo encontrados facilmente na literatura casos similares na faixa pediátrica.

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Section: Discussionunclassified

Associação entre Tumor Sólido Pseudopapilar Pancreático (Tumor de Frantz) e Hipertensão Portal Esquerda em Pediatria: Relato de Caso

De Azevedo Souza Junior,

Kuerten Pamplona da Silva,

Cerveira Cardoso Vilela

et al. 2023

Rev. Bras. Cancerol.

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“…Only 4 cases have been described in English literature. [12][13][14][15] Though splenic vein thrombosis has been reported with pancreatic neuroendocrine tumours 16 , a cases series showing SPEN causing left sided PHT has not been documented. Present case demonstrates use of 3D reconstruction of CECT to map the vascular anatomy of portal collaterals before surgery which helps in planning surgery and intraoperative steps.…”

Section: Discussionmentioning

confidence: 99%

Solid pseudopapillary epithelial neoplasia of the pancreas causing sinistral portal hypertension: a case report

et al. 2021

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Solid pseudopapillary epithelial neoplasm (SPEN), also referred as Franz’s tumour or Hamoudi’s tumour is a low malignant potential epithelial neoplasm of the pancreas. It occurs at a much lower frequency than other cystic neoplasms of the pancreas. It occurs rarely and in young females. Although infrequently, large sized tumours are known to compress the splenic vein thereby resulting in extra hepatic portal venous obstruction (EHPVO) resulting in left sided portal hypertension (PHT). The resulting periportal collateral circulation poses an intraoperative challenge while approaching these tumors. Meticulous pre-operative planning can go a long way in managing such a case and providing complete surgical cure. We present a case of SPEN in a 37 years old female which was discovered incidentally and managed surgically to achieve a complete cure to both the tumour and the left sided PHT.

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“…At the same time, splenomegaly or hypersplenism caused by PSPH can also cause increased blood cell destruction and decreased resistance. Therefore, this disease is receiving increasing attention in clinical practice[ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Computed tomography combined with gastroscopy for assessment of pancreatic segmental portal hypertension

Wang¹,

Zhang²,

Liu³

2022

WJCC

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BACKGROUND Pancreatic segmental portal hypertension (PSPH) is the only type of portal hypertension that can be completely cured. However, it can easily cause varicose veins in the esophagus and stomach and hemorrhage in the digestive tract. AIM To explore the application of computed tomography (CT) to examine the characteristics of PSPH and assess the risk level. METHODS This was a retrospective analysis of CT images of 22 patients diagnosed with PSPH at our center. Spearman correlation analysis was performed using the range of esophageal and gastric varices (measured by the vertical gastric wall), the ratio of the width of the splenic portal vein to that of the compression site (S/C ratio), the degree of splenomegaly, and the stage determined by gastroscopy. This study examined whether patients experienced gastrointestinal bleeding within 2 wk and combined CT and gastroscopy to explore the connection between bleeding and CT findings. RESULTS The range of esophageal and gastric varices showed the best correlation in the diagnosis of PSPH ( P < 0.001), and the S/C ratio ( P = 0.007) was correlated with the degree of splenomegaly ( P = 0.021) and PSPH ( P < 0.05). This study revealed that male patients were more likely than females to progress to grade 2 or grade 3 as determined by gastroscopy. CT demonstrated excellent performance, with an area under the curve of 0.879. CONCLUSION CT can be used to effectively analyze the imaging signs of PSPH, and CT combined with gastroscopy can effectively predict the risk level of gastrointestinal bleeding.

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A rare case report of Solid Pseudopapillary Tumor of the pancreas with portal hypertension

Cited by 4 publications

References 17 publications

Associação entre Tumor Sólido Pseudopapilar Pancreático (Tumor de Frantz) e Hipertensão Portal Esquerda em Pediatria: Relato de Caso

Associação entre Tumor Sólido Pseudopapilar Pancreático (Tumor de Frantz) e Hipertensão Portal Esquerda em Pediatria: Relato de Caso

Solid pseudopapillary epithelial neoplasia of the pancreas causing sinistral portal hypertension: a case report

Computed tomography combined with gastroscopy for assessment of pancreatic segmental portal hypertension

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