title: A pancreatic pseudopapillary tumor enucleated curatively.
abstract: BACKGROUND
  Pseudopapillary tumors (PPT) of the pancreas are very rare, comprising 0.3-2.7% of all pancreatic tumors, and they occur mostly in young women. Generally, they are benign, but in rare cases they can enlarge, invade adjacent organs, and metastasize distantly. Radiological assessments and biochemical markers are important for diagnosing tumor characteristics. The main treatment is tumor resection.
  
  
  METHODS
  An 18-year-old female was referred to our department suffering from abdominal discomfort and upper quadrant abdominal pain. Abdominal computed tomography (CT) revealed a 6-×5-cm mass between the pancreatic head and right adrenal gland (Fig. 1). The histological assessment was a solid PPT of the pancreas with intact surgical borders.
  
  
  CONCLUSIONS
  PPT are very rare, comprising approximately 5% of cystic pancreatic tumors and ∼1% of exocrine pancreatic neoplasms and present mainly during the second and third decades of life. PPTs are usually indolent tumors. As such, they tend to produce vague nonspecific symptoms or may be detected incidentally on imaging. Complete surgical resection (R0) is the most effective therapy for PPT.
  
  
  CONCLUSIONS
  Although PPT is a very rare, benign tumor, it has the potential to metastasize to adjacent and distant organs. Consequently, they should be detected early, so that they can be treated surgically before malignant conversion.
authors.affiliation: Inonu University, Faculty of Medicine, Department of General Surgery, Malatya, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Karakas
authors.affiliation: Inonu University, Faculty of Medicine, Department of General Surgery, Malatya, Turkey. Electronic address: abuzerdirican@hotmail.com.
authors.forename: Abuzer
authors.initials: A
authors.lastname: Dirican
authors.affiliation: Inonu University, Faculty of Medicine, Department of General Surgery, Malatya, Turkey.
authors.forename: Vural
authors.initials: V
authors.lastname: Soyer
authors.affiliation: Inonu University, Faculty of Medicine, Department of General Surgery, Malatya, Turkey.
authors.forename: Süleyman
authors.initials: S
authors.lastname: Koç
authors.affiliation: Inonu University, School of Medicine, Department of General Surgery, Malatya, Turkey.
authors.forename: Veysel
authors.initials: V
authors.lastname: Ersan
authors.affiliation: Inonu University, School of Medicine, Department of General Surgery, Malatya, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Ates
keywords: Enucleation; Pancreas; Pseudopapillary
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