Extremely rare presentation of Frantz’s tumour: synchronous localisation in the pancreatic head and tail

Abstract

To the best of our knowledge, this is the first report of synchronous presentation of pseudopapillary tumour of the pancreas.

Pseudopapillary tumour of pancreas in a 13 year old girl

“…Elevated amylase levels were observed in some cases, but this patient's serum amylase was within normal limit. In contrast to the adults, children with solid pseudopapillary tumour have a low distant metastatic potential which corresponds with our case as well [3] [4].…”

“…But in this case the tumour was localized to the body, sparing head and tail [4]. Computed Tomography (CT) of abdomen was done preoperatively in most of the literature [3] [4]. Surgical resection without preoperative CT was challenging for us.…”

“…The tumour commonly involves pancreatic tail followed by the head, and the involvement of the body is rare. But in this case the tumour was localized to the body, sparing head and tail [4]. Computed Tomography (CT) of abdomen was done preoperatively in most of the literature [3] [4].…”

Incidental detection of a small solid pseudopapillary neoplasm of the pancreas after a traffic accident in a 12-year-old girl: a case report

“…SPNs can occur throughout the pancreas, but are typically found more frequently in the body or tail region10 and can be managed by distal pancreatectomy. In children, compared to the adults, less destructive surgery has been advocated and tumor enucleation had been tried in a 16-year-old girl who had SPN in both the head and tail of the pancreas 11. However, contrary to the case reported by Juric et al,11 the patient described here had a single mass at the most distal part of the pancreas and, moreover, concerns on the potential malignant foci led us to consider distal pan-createctomy rather than simple enucleation.…”

“…In children, compared to the adults, less destructive surgery has been advocated and tumor enucleation had been tried in a 16-year-old girl who had SPN in both the head and tail of the pancreas 11. However, contrary to the case reported by Juric et al,11 the patient described here had a single mass at the most distal part of the pancreas and, moreover, concerns on the potential malignant foci led us to consider distal pan-createctomy rather than simple enucleation. With advances in surgical techniques, laparoscopic distal pancreatectomy has proven to be as safe and effective as conventional open surgery 12.…”