Original Research Article
Year: 2017 | Month: January | Volume: 7 | Issue: 1 | Pages: 39-44
Management of Solid Papillary Epithelial Neoplasm (SPEN) of Pancreas - Experience of Tertiary Care Centre
Sagar Kurunkar1, Chetan Kantharia2, Kishor Jain1, Sharvar Pujari3, Ramkrishna Prabhu4
1Registrar, 2Head of Department and Professor, 3Assistant professor, 4Associate professor,
Dept of Surgical Gastroenterology and Liver Transplant, Seth GS Medical College and KEM Hospital, Mumbai.
Corresponding Author: Sagar Kurunkar
ABSTRACT
Background: Solid Papillary Epithelial Neoplasm (SPEN) Of Pancreas is an uncommon tumor. The present article shares our experience of clinical presentation and management of this rare indolent pancreatic tumor
Materials and Methods: Retrospective analysis of our data of solid pseudopapillary epithelial neoplasm of pancreas was done from period from 2008 to 2015. Parameters taken into consideration were the patient’s demographics, clinical presentation, biochemical investigations, tumor markers, radiological imaging, intraoperative findings, pathological report and survival
Results: Six patients of SPEN of pancreas were identified from our data base. All patients were female with mean age of 36.5 years. All patients had vague lump in abdomen with dull aching pain as their clinical presentation. In 4 patients the lesion involved the head, while in two the tail of the pancreas was involved. CECT Scan in all revealed heterogeneous mass in the pancreas. All patients were subjected to curative resection, with four undergoing Whipples procedure and two distal pancreatectomy. All patients are alive with follow up ranging from 7 to 90 months.
Conclusion: SPEN is an indolent neoplasm of pancreas; diagnosis is based mainly on radiological findings and confirmed by pathology. R0 surgical resection is curative for the patient with good 5 year survival.
Key words: solid pseudopapillary epithelial neoplasm of pancreas.