Solid pseudopapillary neoplasm of the pancreas in an old man: age does not matter

  • Mahdi Bouassida
  • Mohamed Monji Mighri
  • Dhouha Bacha
  • Mohamed Fadhel Chtourou
  • Hassen Touinsi
  • Mohamed Msaddak Azzouz
  • Sadok Sassi

Abstract

Solid pseudopapillary tumor (SPN) of the pancreas is a rare tumor, but has favorable prognosis. It is typically observed in young women. Only few cases have been reported in young men. We report the observation of a 73-year-old man presented with a palpable mass in the left upper abdomen. CT scan showed 10 cm mass at the tail of the pancreas. This mass had mixed cystic and solid components. The patient underwent a distal pancreatectomy and splenectomy. SPN of the pancreas was diagnosed based on histopathological features. The patient recovered uneventfully and didn't receive adjuvant therapy. A CT scan performed 16 months postoperatively showed no evidence of disease recurrence. Although SPN of the pancreas is typically observed in young women, the diagnosis should not be discounted in old male patients. Male patients and those with old age, atypical histopathology and incomplete resection may have a higher risk of recurrence and death, deserving particular attention.

Pan African Medical Journal 2012; 13:8

Author Biographies

Mahdi Bouassida

Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia

Mohamed Monji Mighri

Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia

Dhouha Bacha

Department of Pathology, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul,Tunisia

Mohamed Fadhel Chtourou

Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia

Hassen Touinsi

Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia

Mohamed Msaddak Azzouz
Department of Gastroenterology, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia
Sadok Sassi

Department of Surgery, Mohamed Tahar Maamouri Hospital, 8000 Mrazga, Nabeul, Tunisia

Published
2013-02-23
Section
Articles

Journal Identifiers


eISSN: 1937-8688