Surgical therapy of a large pancreatic solid-pseudopapillary neoplasm during pregnancy
Solid-pseudopapillary neoplasms (SPNs) of the exocrine pancreas are rare, accounting for only 2% of pancreatic tumours. These tumours predominantly affect women during the second and third decades of life. They frequently present with vague symptoms and can pose a diagnostic challenge. Surgical rese...
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| Veröffentlicht in: | BMJ case reports 2014-01, Vol.2014, p.bcr2013202259 |
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| creator | MacDonald, Frank Keough, Valerie Huang, Weei-Yuan Molinari, Michele |
| description | Solid-pseudopapillary neoplasms (SPNs) of the exocrine pancreas are rare, accounting for only 2% of pancreatic tumours. These tumours predominantly affect women during the second and third decades of life. They frequently present with vague symptoms and can pose a diagnostic challenge. Surgical resection remains the treatment of choice that can cure up to 95% of patients when negative resection margins are obtained. SPNs diagnosed during pregnancy are exceptional and with profound implications on the mother and fetus. The authors present a case of an asymptomatic SPN in a 24-year-old woman diagnosed at 14 weeks of gestation on a routine prenatal ultrasound. Distal pancreatectomy, splenectomy and cholecystectomy were successfully performed at 18 weeks of gestation. A healthy full-term male child was born 5 months following surgery without complications. |
| doi_str_mv | 10.1136/bcr-2013-202259 |
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These tumours predominantly affect women during the second and third decades of life. They frequently present with vague symptoms and can pose a diagnostic challenge. Surgical resection remains the treatment of choice that can cure up to 95% of patients when negative resection margins are obtained. SPNs diagnosed during pregnancy are exceptional and with profound implications on the mother and fetus. The authors present a case of an asymptomatic SPN in a 24-year-old woman diagnosed at 14 weeks of gestation on a routine prenatal ultrasound. Distal pancreatectomy, splenectomy and cholecystectomy were successfully performed at 18 weeks of gestation. A healthy full-term male child was born 5 months following surgery without complications.</description><identifier>ISSN: 1757-790X</identifier><identifier>EISSN: 1757-790X</identifier><identifier>DOI: 10.1136/bcr-2013-202259</identifier><identifier>PMID: 24445849</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Abdomen ; Antigens ; Carcinoma, Papillary - diagnosis ; Carcinoma, Papillary - surgery ; Cholecystectomy ; Cysts ; Diagnosis, Differential ; Female ; Fetuses ; Follow-Up Studies ; Humans ; Infant, Newborn ; Male ; Nausea ; Pancreas ; Pancreatectomy ; Pancreatic Neoplasms - diagnosis ; Pancreatic Neoplasms - surgery ; Patients ; Pregnancy ; Pregnancy Complications, Neoplastic - diagnosis ; Pregnancy Complications, Neoplastic - surgery ; Pregnancy Outcome ; Prenatal Diagnosis - methods ; Rare Disease ; Spleen ; Splenectomy ; Surgery ; Tumors ; USA/Canada ; Vomiting ; White ; Womens health ; Young Adult</subject><ispartof>BMJ case reports, 2014-01, Vol.2014, p.bcr2013202259</ispartof><rights>2014 BMJ Publishing Group Ltd</rights><rights>Copyright: 2014 2014 BMJ Publishing Group Ltd</rights><rights>2014 BMJ Publishing Group Ltd 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b4659-a9e0bf91cef78a5107eeddc228c8aedd18fdb3434815f1d552c5287c8b6ceaa73</citedby><cites>FETCH-LOGICAL-b4659-a9e0bf91cef78a5107eeddc228c8aedd18fdb3434815f1d552c5287c8b6ceaa73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3902659/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3902659/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24445849$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>MacDonald, Frank</creatorcontrib><creatorcontrib>Keough, Valerie</creatorcontrib><creatorcontrib>Huang, Weei-Yuan</creatorcontrib><creatorcontrib>Molinari, Michele</creatorcontrib><title>Surgical therapy of a large pancreatic solid-pseudopapillary neoplasm during pregnancy</title><title>BMJ case reports</title><addtitle>BMJ Case Rep</addtitle><description>Solid-pseudopapillary neoplasms (SPNs) of the exocrine pancreas are rare, accounting for only 2% of pancreatic tumours. These tumours predominantly affect women during the second and third decades of life. They frequently present with vague symptoms and can pose a diagnostic challenge. Surgical resection remains the treatment of choice that can cure up to 95% of patients when negative resection margins are obtained. SPNs diagnosed during pregnancy are exceptional and with profound implications on the mother and fetus. The authors present a case of an asymptomatic SPN in a 24-year-old woman diagnosed at 14 weeks of gestation on a routine prenatal ultrasound. Distal pancreatectomy, splenectomy and cholecystectomy were successfully performed at 18 weeks of gestation. A healthy full-term male child was born 5 months following surgery without complications.</description><subject>Abdomen</subject><subject>Antigens</subject><subject>Carcinoma, Papillary - diagnosis</subject><subject>Carcinoma, Papillary - surgery</subject><subject>Cholecystectomy</subject><subject>Cysts</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Fetuses</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Nausea</subject><subject>Pancreas</subject><subject>Pancreatectomy</subject><subject>Pancreatic Neoplasms - diagnosis</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Patients</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Neoplastic - diagnosis</subject><subject>Pregnancy Complications, Neoplastic - surgery</subject><subject>Pregnancy Outcome</subject><subject>Prenatal Diagnosis - methods</subject><subject>Rare Disease</subject><subject>Spleen</subject><subject>Splenectomy</subject><subject>Surgery</subject><subject>Tumors</subject><subject>USA/Canada</subject><subject>Vomiting</subject><subject>White</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1757-790X</issn><issn>1757-790X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkc1LHTEUxUNRqqjr7kqgGymM5nOS2RSK-AWCC23pLmQyd8Y8ZiZp8kZ4_30jz4p1UbNILuR3D-dwEPpEyQmlvD5tXaoYobxcjMnmA9qnSqpKNeTXzqt5Dx3lvCLlcCq04B_RHhNCSC2affTzbkmDd3bE6wdINm5w6LHFo00D4Ghnl8CuvcM5jL6rYoalC9FGPxZig2cIcbR5wt2S_DzgmGCYy9LmEO32dsxw9PweoB8X5_dnV9XN7eX12febqhW1bCrbAGn7hjrolbaSEgXQdY4x7bQtE9V913LBhaayp52UzEmmldNt7cBaxQ_Qt61uXNoJOgfzOtnRxOSn4s8E682_P7N_MEN4NLwhrDgoAsfPAin8XiCvzeSzgxKvZFuyoZIIWlPGZUG_vEFXYUlziWeoZrKuuZT8v5TSnGmiZF2o0y3lUsg5Qf9imRLzVK4p5Zqncs223LLx-XXSF_5vlQX4ugXaafWu2h9mVK5p</recordid><startdate>20140120</startdate><enddate>20140120</enddate><creator>MacDonald, Frank</creator><creator>Keough, Valerie</creator><creator>Huang, Weei-Yuan</creator><creator>Molinari, Michele</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140120</creationdate><title>Surgical therapy of a large pancreatic solid-pseudopapillary neoplasm during pregnancy</title><author>MacDonald, Frank ; 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| subjects | Abdomen Antigens Carcinoma, Papillary - diagnosis Carcinoma, Papillary - surgery Cholecystectomy Cysts Diagnosis, Differential Female Fetuses Follow-Up Studies Humans Infant, Newborn Male Nausea Pancreas Pancreatectomy Pancreatic Neoplasms - diagnosis Pancreatic Neoplasms - surgery Patients Pregnancy Pregnancy Complications, Neoplastic - diagnosis Pregnancy Complications, Neoplastic - surgery Pregnancy Outcome Prenatal Diagnosis - methods Rare Disease Spleen Splenectomy Surgery Tumors USA/Canada Vomiting White Womens health Young Adult |
| title | Surgical therapy of a large pancreatic solid-pseudopapillary neoplasm during pregnancy |
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