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To elucidate the clinicopathological features of solid pseudopapillary tumor (SPT) of the pancreas.
Eight patients with SPT of the pancreas admitted from August 1996 to March 2005 were retrospectively analyzed.
All the 8 patients were female with an average age of 25.3 (13-41) years. The primary clinical manifestations included abdominal mass (n = 3), vague abdominal pain (n = 3), and duodenal obstruction (n = 1). SPT was occasionally found in one patient during physical examination. Six tumors located at the head and the other two in the body and tail of the pancreas. Pancreaticoduodenectomies were performed in 4 patients, tumor enucleations in 2, distal pancreatectomies in 1, and palliative internal drainage with a cystoenterotomy in the other one with an unresectable huge cystic lesion. All patients were alive on an average follow-up of 37.8 (8-103) months.
SPT occurs mainly in adolescent and young females, and satisfactory outcome may be achieved with active and appropriate surgeries.