A case of repeat hepatectomy for liver metastasis from solid pseudopapillary neoplasm of the pancreas: a case report.

Morito, Atsushi; Eto, Kojiro; Matsuishi, Kozue; Hamasaki, Hirokazu; Morita, Keisuke; Ikeshima, Satoshi; Horino, Kei; Shimada, Shinya; Baba, Hideo.

Afiliação

Morito A; Department of Surgery, Japan Community Health Care Organization Kumamoto General Hospital, 10-10 Tori-machi, Yatsushiro, Kumamoto, 866-8660, Japan.
Eto K; Department of Surgery, Japan Community Health Care Organization Kumamoto General Hospital, 10-10 Tori-machi, Yatsushiro, Kumamoto, 866-8660, Japan.
Matsuishi K; Department of Surgery, Japan Community Health Care Organization Kumamoto General Hospital, 10-10 Tori-machi, Yatsushiro, Kumamoto, 866-8660, Japan.
Hamasaki H; Department of Surgery, Japan Community Health Care Organization Kumamoto General Hospital, 10-10 Tori-machi, Yatsushiro, Kumamoto, 866-8660, Japan.
Morita K; Department of Surgery, Japan Community Health Care Organization Kumamoto General Hospital, 10-10 Tori-machi, Yatsushiro, Kumamoto, 866-8660, Japan.
Ikeshima S; Department of Surgery, Japan Community Health Care Organization Kumamoto General Hospital, 10-10 Tori-machi, Yatsushiro, Kumamoto, 866-8660, Japan.
Horino K; Department of Surgery, Japan Community Health Care Organization Kumamoto General Hospital, 10-10 Tori-machi, Yatsushiro, Kumamoto, 866-8660, Japan.
Shimada S; Department of Surgery, Japan Community Health Care Organization Kumamoto General Hospital, 10-10 Tori-machi, Yatsushiro, Kumamoto, 866-8660, Japan.
Baba H; Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, 860-8556, Japan. hdobaba@kumamoto-u.ac.jp.

Surg Case Rep ; 7(1): 60, 2021 Mar 01.

Article em En | MEDLINE | ID: mdl-33650037

ABSTRACT

BACKGROUND:

Solid pseudopapillary neoplasm of the pancreas is a rare tumor in young women, metastasizing in only 5-15% of cases, and most commonly to the liver. Although treatment guidelines have not been established, surgical resection is usually performed. We report a rare case of repeat hepatectomy for liver metastases after distal pancreatectomy with solid pseudopapillary neoplasm. CASE PRESENTATION The patient was a 71-year-old woman who underwent distal pancreatectomy for solid pseudopapillary neoplasm, and liver metastasis occurred 4 years after the first surgery. Partial liver resection was performed for four liver metastases, and histopathological examination revealed a diagnosis of liver metastasis from solid pseudopapillary neoplasm. However, 18 months later, liver metastases were detected again; three tumors were identified, and partial resection was performed, which has provided 18 months' recurrence-free survival.