کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4155578 | 1273751 | 2014 | 4 صفحه PDF | دانلود رایگان |

PurposeWe aimed to review clinical and histologic findings of solid-pseudopapillary neoplasm (SPN) in children and determine the predictive factor of the malignancy.MethodThe records of 45 patients (9 males, 36 females) who underwent surgery for SPN in the Asan Medical Center from 1992 to 2012 were retrospectively analyzed. We analyzed the factors between histologic benign group (n = 36) and malignant group (n = 9).ResultsThe mean age of children was 14.9 ± 3.15 years (range 9–20 years). Mean size of the tumor was 6.36 ± 3.61 cm, and most common site in the pancreas was the tail (n = 23). Three patients had distant metastasis at initial diagnosis. The sites were the liver (n = 2) and the omentum (n = 1). All patients underwent complete resection, and the median follow up period was 34 months. Recurrence (n = 4) was more common in the malignant group (p < 0.05). We calculated the proportion of solid component by manual volumetry with a CT scan. The median value was 41.5% in benign group and 88.4% in malignant group. On comparative analysis, the proportion of solid component was found to have significant association with malignancy (p < 0.05).ConclusionHistologic malignant SPN has high risk of recurrence. We should consider more radical resection when finding a predominantly solid tumor in a CT scan.
Journal: Journal of Pediatric Surgery - Volume 49, Issue 12, December 2014, Pages 1730–1733