[Solid-cystic pseudopapillary tumor of the pancreas: acute post-traumatic presentation. Case report and review of the literature].
OBJECTIVE
To report an infrequent case of pancreatic pseudopapillary solid-cyst tumor, known as Frantz tumor, discovered after blunt abdominal trauma, and to carry out a review of the literature.


BACKGROUND
Frantz's tumor is a very uncommon low-grade malignant papillary-cystic neoplasm of the pancreas that is relatively frequent in young black women and was first described by Frantz in 1959.


METHODS
We present the case of a 15-years-old female patient who, 24 h after blunt abdominal trauma, came to the emergency room with intense abdominal and atypical pain and a palpable mass in the left upper quadrant. It was initially diagnosed as a post-traumatic pancreatic pseudocyst. The patient underwent distal pancreatectomy with spleen preservation; the histopathologic report was a pseudopapillary solid and cystic tumor of the pancreas without malignant cells. Clinical evolution has been satisfactory without recurrence of the tumor at 14 months of follow-up.


CONCLUSIONS
Frantz's tumor has benign biologic behavior and treatment of choice consists of surgical resection. Outcome after surgical resection is excellent with 90% survival in the long term. Tumoral recurrence has been described in approximately 10% of patients.
Cervantes-Monteil
Felipe
F
Departamento de Cirugía, American British Cowdray Medical Center IAP, México, D.F. fcervantes@abchospital.com
Florez-Zorrilla
Carlos
C
Alvarez-Martínez
Ivonne
I
D000006:Abdomen, Acute / Q000209:etiology; D000007:Abdominal Injuries / Q000150:complications*; D000293:Adolescent; D018292:Cystadenoma, Papillary / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D010179:Pancreas / Q000473:pathology; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010192:Pancreatic Pseudocyst / Q000175:diagnosis*; D011379:Prognosis; D013997:Time Factors; D014057:Tomography, X-Ray Computed