Long-term follow-up after pancreatoduodenectomy with portal vein resection for a huge solid pseudopapillary neoplasm in an adolescent girl

Toshio Kanai, Shinichiro Miyazaki, Tomotaka Akatsu, Motohito Nakagawa, Kaori Kameyama

Research output: Contribution to journalArticle

Abstract

A 16-year-old Japanese girl with a huge 13-cm-diameter tumor in the pancreas head presented with life-threatening symptoms and findings including severe anemia, obstructive jaundice, duodenal stenosis, and serious portal vein compression. She underwent a pancreatoduodenectomy with combined resection of the portal vein. Reconstruction of the portal vein was successfully performed using an external iliac vein graft and postoperative anticoagulant therapy. Pathological examination revealed a solid pseudopapillary neoplasm of the pancreas. The patient’s postoperative course was uneventful, but her menstruation ceased for 14 months. She is now alive with no evidence of recurrence 100 months postoperatively and she suffers no impairments in daily activities of life. As a treatment of solid pseudopapillary neoplasms of the pancreas, pancreatoduodenectomy combined with portal vein resection is rarely performed in adolescent patients, but is reportedly successful, with patients tolerating the operation and surviving without recurrence. An aggressive surgical attitude is recommended when dealing with this tumor type with curative resection, even in adolescent patients.

Original languageEnglish
Pages (from-to)52-59
Number of pages8
JournalKeio Journal of Medicine
Volume63
Issue number3
DOIs
Publication statusPublished - 2014 Sep 1

Fingerprint

Pancreaticoduodenectomy
Portal Vein
Pancreatic Neoplasms
Neoplasms
Iliac Vein
Recurrence
Menstruation
Obstructive Jaundice
Anticoagulants
Anemia
Pancreas
Transplants
Therapeutics

Keywords

  • Adolescent
  • Pancreatoduodenectomy
  • Portal vein resection
  • Solid pseudopapillary neoplasm

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Long-term follow-up after pancreatoduodenectomy with portal vein resection for a huge solid pseudopapillary neoplasm in an adolescent girl. / Kanai, Toshio; Miyazaki, Shinichiro; Akatsu, Tomotaka; Nakagawa, Motohito; Kameyama, Kaori.

In: Keio Journal of Medicine, Vol. 63, No. 3, 01.09.2014, p. 52-59.

Research output: Contribution to journalArticle

Kanai, Toshio ; Miyazaki, Shinichiro ; Akatsu, Tomotaka ; Nakagawa, Motohito ; Kameyama, Kaori. / Long-term follow-up after pancreatoduodenectomy with portal vein resection for a huge solid pseudopapillary neoplasm in an adolescent girl. In: Keio Journal of Medicine. 2014 ; Vol. 63, No. 3. pp. 52-59.
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