Detailed Abstract
[E-poster - Biliary & Pancreas (Pancreas Disease/Surgery)]
[EP 232] Solid Pseudopapillary Neoplasm of the Pancreas: Clinical Characteristics of Patients Presenting to a Tertiary Care Centre in Sri Lanka
MALITH NANDASENA 1, KASUN LAKMAL 2, BHANU WIJETHILAKE 2, HASANGI GAMAGE 2, MINIDU CHANDRAGUPTA 2, ALOKA PATHIRANA 1
1 Department of Surgery , Department of Surgery, Faculty of Medical Sciences, University of Sri Jayewardenepura, SRI LANKA, 2 University Surgical Unit, University Surgical Unit, Colombo South Teaching Hospital, SRI LANKA
Background : Solid pseudopapillary neoplasms(SPN) of the pancreas are rare with a low malignant potential which carries a favorable prognosis. It’s mainly a disease of the young females. The mainstay of treatment is surgical resection. Even if malignancy is present, they can be cured when completely excised. The aim of this study was to identify clinical characteristics of patients presenting with SPNs to a tertiary care centre in Sri Lanka
Methods : A retrospective study was conducted at a tertiary care center including all newly diagnosed patients with SPN based on radiological (n=11) criteria for a period of 2 years. A descriptive analysis was performed with respect to clinical and treatment characteristics which were collected through a custom-made database.
Results : All the patients were females (n=11). The mean age at presentation was 36 (range: 15-52) years. Most presenting with nonspecific abdominal pains(n=8,72.7%), abdominal mass(n=2,18.1%) and incidentally(n=1,9.1%). The majority of neoplasms were located in the pancreatic head (n=5,45.2%) and the rest in the body(n=4,36.4%) tail(n=2,18.2%). Following diagnosis all the patients had a successful surgical removal of the tumor. Most underwent distal pancreatectomy (n=7,63.7%) followed by pancreaticoduodenectomy (n=3,27.3%) and segmental pancreatectomy (n=1,9.1%). Only a superficial surgical site infection was recorded as a postoperative complication.
Conclusions : In this Sri Lankan cohort, SPNs had a middle aged female predominance which was compatible with the literature. The majority of the neoplasms were confined to the head. However most underwent distal pancreatectomy for tumors in the pancreatic body and tail combined.
Methods : A retrospective study was conducted at a tertiary care center including all newly diagnosed patients with SPN based on radiological (n=11) criteria for a period of 2 years. A descriptive analysis was performed with respect to clinical and treatment characteristics which were collected through a custom-made database.
Results : All the patients were females (n=11). The mean age at presentation was 36 (range: 15-52) years. Most presenting with nonspecific abdominal pains(n=8,72.7%), abdominal mass(n=2,18.1%) and incidentally(n=1,9.1%). The majority of neoplasms were located in the pancreatic head (n=5,45.2%) and the rest in the body(n=4,36.4%) tail(n=2,18.2%). Following diagnosis all the patients had a successful surgical removal of the tumor. Most underwent distal pancreatectomy (n=7,63.7%) followed by pancreaticoduodenectomy (n=3,27.3%) and segmental pancreatectomy (n=1,9.1%). Only a superficial surgical site infection was recorded as a postoperative complication.
Conclusions : In this Sri Lankan cohort, SPNs had a middle aged female predominance which was compatible with the literature. The majority of the neoplasms were confined to the head. However most underwent distal pancreatectomy for tumors in the pancreatic body and tail combined.
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E-poster
E-Session 03/21 ALL DAY