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CC BY 4.0 · European J Pediatr Surg Rep. 2024; 12(01): e58-e62
DOI: 10.1055/s-0044-1791812
Case Report

Middle-Preserving Pancreatectomy for Multicentric Solid Pseudopapillary Neoplasm in a 10-Year-Old Female

Grace Marshall
1   University of Rochester School of Medicine and Dentistry, Rochester, New York
,
Matthew Byrne
2   Department of Surgery, University of Rochester Medical Center, Rochester, New York
,
Korry Wirth
2   Department of Surgery, University of Rochester Medical Center, Rochester, New York
,
Xiaoyan Liao
3   Department of Pathology and Laboratory Medicine, University of Rochester Medical Center, Rochester, New York
,
David C. Linehan
4   Department of Surgery, University of Rochester Medical Center, Rochester, New York
,
Nicole A. Wilson
5   Departments of Surgery, Pediatrics, and Biomedical Engineering, University of Rochester Medical Center, Rochester, New York
› Author Affiliations Funding None.
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Abstract

Solid pseudopapillary neoplasm (SPN) is a rare low-grade malignant tumor of the pancreas that occurs predominantly in young females. This tumor is occasionally multicentric, posing a unique surgical conundrum for resection. We present a case of a 10-year-old female with a history of multicystic dysplastic left kidney and persistent urogenital sinus who was diagnosed with biopsy-proven multicentric SPN of the pancreatic head and tail and underwent middle-preserving pancreatectomy. The patient tolerated the surgery very well. Our case is one of the few reported cases of multicentric SPN in a pediatric patient, and the only case treated with middle-preserving pancreatectomy, which is a novel surgical option for protecting pediatric patients from total endocrine and exocrine pancreatic insufficiency. With the increase in the incidence of SPN, there is an increasing need for pancreas-preserving surgical options, particularly in pediatric patients.

Keywords

multicentric solid pseudopapillary neoplasm - Frantz tumor - urogenital abnormalities - pediatric - pancreas


Publication History

Received: 10 September 2023

Accepted: 17 September 2024

Article published online:
17 October 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Georg Thieme Verlag KG
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