Solid pseudopapillary neoplasms of the pancreas: Multicenter Vasepa study

[Display omitted] Solid pseudopapillary tumors (SPT) of the pancreas are rare exocrine neoplasms of the pancreas. Correct preoperative diagnosis is not always feasible. The treatment of choice is surgical excision. These tumors have a good prognosis with a high disease-free survival rate. To describe the clinicopathological and radiological characteristics as well as short- and long-term follow-up results of patients who have undergone SPT resection. Multicenter retrospective observational study in patients with SPT who had undergone surgery from January 2000–January 2022. We have studied preoperative, intraoperative, and postoperative variables as well as the follow-up results (mean 28 months). 20 patients with histological diagnosis of SPT in the surgical specimen were included. 90% were women; mean age was 33.5 years (13–67); 50% were asymptomatic. CT was the most used diagnostic test (90%). The most frequent location was body-tail (60%). Preoperative biopsy was performed in 13 patients (65%), which was correct in 8 patients. Surgeries performed: 7 distal pancreatectomies, 6 pancreaticoduodenectomies, 4 central pancreatectomies, 2 enucleations, and 1 total pancreatectomy. The R0 rate was 95%. Four patients presented major postoperative complications (Clavien-Dindo > II). Mean tumor size was 81 mm. Only one patient received adjuvant chemotherapy. With a mean follow-up of 28 months, 5-year disease-free survival was 95%. SPT are large, usually located in the body-tail of the pancreas, and more frequent in women. The R0 rate obtained in our series is very high (95%). The oncological results are excellent. El tumor sólido pseudopapilar de páncreas (TSPP) es una infrecuente neoplasia exocrina de páncreas. El diagnóstico preoperatorio correcto no siempre es factible. El tratamiento de elección consiste en la exéresis quirúrgica. Este tumor presenta buen pronóstico con alta tasa de supervivencia libre de enfermedad. Describir las características clínicopatológicas y radiológicas, los resultados de seguimiento a corto y largo plazo de los pacientes a los que se resecó un TSSP. Estudio observacional retrospectivo multicéntrico de pacientes intervenidos quirúrgicamente de TSPP en enero 2000- enero 2022. Estudiamos variables preoperatorias, intraoperatorias, postoperatorias, y los resultados del seguimiento (mediana 28 meses). Se incluyeron 20 pacientes con diagnóstico histológico de TSSP en la pieza quirúrgica. 90% eran mujeres. Edad (mediana): 33,5 años (13–67).