title: Surgical management and long-term follow-up of solid pseudopapillary tumor of pancreas: a large series from a single institution.
abstract: OBJECTIVE
  We summarized the diagnosis, surgical strategies, and long-term follow-up outcomes in our large series of solid pseudopapillary tumors (SPTs) of pancreas.
  
  
  METHODS
  In this retrospective analysis, we collected data pertaining to pancreatic SPTs diagnosed in 115 patients between July 2003 and February 2013.We analyzed the demographic characteristics, clinical presentations, operative strategies, perioperative details, and follow-up outcomes.
  
  
  RESULTS
  Abdominal pain was the most frequent symptom (40.0%). The most frequent location of SPT was pancreatic tail (36.5%). We performed 33 cases of pancreaticoduodenectomy, 15 cases of middle pancreatectomy, 19 cases of distal pancreatectomy with spleen preservation, 28 cases of distal pancreatectomy with splenectomy, and 18 cases of enucleation. Two patients suffered tumor recurrence and required a second resection of the recurrent tumor.
  
  
  CONCLUSIONS
  Complete resection of the tumor is associated with good survival, even in patients with vessel involvement or metastases. In patients with tumor recurrence, a second resection resulted in long-term survival.
authors: Department of Hepatopancreatobiliary Surgery, West China Hospital, Sichuan University, No. 37, Guo Xue Xiang, Chengdu, Sichuan, 610041, China.
authors: Yunqiang
authors: Y
authors: Cai
authors: Xun
authors: X
authors: Ran
authors: Siming
authors: S
authors: Xie
authors: Xin
authors: X
authors: Wang
authors: Bing
authors: B
authors: Peng
authors: Gang
authors: G
authors: Mai
authors: Xubao
authors: X
authors: Liu
mesh_terms: D000293:Adolescent; D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000209:etiology; D018572:Disease-Free Survival; D004415:Dyspepsia / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010180:Pancreatectomy / Q000009:adverse effects; D010190:Pancreatic Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects; D012189:Retrospective Studies; D013156:Splenectomy / Q000009:adverse effects; D015996:Survival Rate; D013997:Time Factors; D055815:Young Adult