KUMJ | VOL. 21 | NO. 3 | ISSUE 83 | JULY-SEPTEMBER. 2023

Central Pancreatectomy for Bilobed Solid Pseudopapillary Tumor of Pancreas
Jha MK, Ramtel R, Adhikari B, Laudari U, Thapa A, Rawal SB


Abstract:
Solid-pseudopapillary tumor of pancreas is a rare pancreatic tumor that occurs predominantly in a young female with only a small minority concerning children. These tumors have low malignant potential, found incidentally which are usually single lobed. Surgical resection remains the mainstay of treatment. Our case is 26 years female with vomiting and abdominal pain localized to the right upper quadrant. Computerized tomography scans showed two well-defined hypodense lesions at neck and body of the pancreas with greatest diameter of six centimeter. The patient underwent central pancreatectomy and histopathology confirmed solid-pseudopapillary tumor with complete resection with all resected margin free of tumor. Symptoms may be present such as abdominal pain or vomiting due to compression, mainly in large tumors. In benign cases parenchyma sparing surgery such as central pancreatectomy can preserve the exocrine and endocrine function of pancreas which helps patient to have better postoperative quality of life.
Keyword : Bilobed mass, Central Pancreatectomy, Solid-pseudopapillary tumor