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Solid pseudopapillary tumour of the pancreas: Incidence, prognosis and outcome of surgery (single center experience)  Ayman El Nakeeb, Mohamed Abdel Wahab,

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Presentation on theme: "Solid pseudopapillary tumour of the pancreas: Incidence, prognosis and outcome of surgery (single center experience)  Ayman El Nakeeb, Mohamed Abdel Wahab,"— Presentation transcript:

1 Solid pseudopapillary tumour of the pancreas: Incidence, prognosis and outcome of surgery (single center experience)  Ayman El Nakeeb, Mohamed Abdel Wahab, Wagdi F. Elkashef, Mina Azer, Tharwat Kandil  International Journal of Surgery  Volume 11, Issue 6, Pages (July 2013) DOI: /j.ijsu Copyright © 2013 Surgical Associates Ltd Terms and Conditions

2 Fig. 1 a): A 28 years old female presented by abdominal pain. Abdominal CT demonstrate a large heterogeneous mass 5 × 6 cm in the head of pancreas. (b): A 14 years old female presented by abdominal pain and palpable abdominal mass. Abdominal CT demonstrate a large well demarcated heterogeneous mass 11 × 8 cm in the head of pancreas. International Journal of Surgery  , DOI: ( /j.ijsu ) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

3 Fig. 2 A 18 years old female presented by abdominal pain. Abdominal CT demonstrate a cystic lesion 4 × 5 cm in body of pancreas. Mid-pancreatectomy was done for this case. International Journal of Surgery  , DOI: ( /j.ijsu ) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

4 Fig. 3 A 21 years old female presented by abdominal pain and palpable abdominal mass. Abdominal CT demonstrate a large heterogeneous mass 25 × 13 cm in the tail of pancreas encroaching on the body of the pancreas. International Journal of Surgery  , DOI: ( /j.ijsu ) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

5 Fig. 4 A 12 years old female presented by obstructive jaundice and abdominal pain. MRCP Revealing dilated common bile duct and pancreatic duct with mass 4 × 3 cm in the head of the pancreas. Pancreaticoduodenectomy was done. International Journal of Surgery  , DOI: ( /j.ijsu ) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

6 Fig. 5 (a, b): The tumours were well encapsulated and well demarcated from the pancreas. The cut surface showed alternating solid and cystic areas with areas of hemorrhage and necrosis. The cystic cavities were irregular and lined by friable tissue. The catheter in the common bile duct. International Journal of Surgery  , DOI: ( /j.ijsu ) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

7 Fig. 6 (a): Pseudopapillary pattern of growth (H&E staining ×100). (b): Thin vascular structures covered by cuboidal cells with no cellular atypia (H&E staining ×400). International Journal of Surgery  , DOI: ( /j.ijsu ) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

8 Fig. 7 a, b): SPT showing para-nuclear dot like staining (CD99 immunohistochemical staining ×400). International Journal of Surgery  , DOI: ( /j.ijsu ) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

9 Fig. 8 a, b): SPT showing strong positive cytoplasmic reaction (Vimentin immunohistochemical staining ×200). International Journal of Surgery  , DOI: ( /j.ijsu ) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

10 Fig. 9 a): SPT showing moderate positive cytoplasmic reaction (Synaptophysin immunohistochemical staining ×200). (b): SPT showing negative reaction (Cytokeratin immunohistochemical staining ×200). International Journal of Surgery  , DOI: ( /j.ijsu ) Copyright © 2013 Surgical Associates Ltd Terms and Conditions

11 Fig. 10 A 17 years old female presented by recurrent SPT, 5 years after pancreaticoduodenectomy. The recurrent mass was well capsulated about 25 × 15 cm in the area of the pancreas and invading the left lobe of the liver. Complete resection of the recurrent lesion was done with left hepatectomy. International Journal of Surgery  , DOI: ( /j.ijsu ) Copyright © 2013 Surgical Associates Ltd Terms and Conditions


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