Laparoscopic Surgical Treatment of a Solid Pseudopapillary Tumor of the Pancreas (Frantz’s Tumor): Case Report

Authors

  • Ítalo de Souza Porto Universidade Federal do Ceará (UFC), Centro de Ciências da Saúde, Faculdade de Medicina. Fortaleza (CE), Brasil. https://orcid.org/0000-0002-9649-0176
  • José Nilo de Lima Filho Universidade Federal do Ceará (UFC), Centro de Ciências da Saúde, Faculdade de Medicina. Fortaleza (CE), Brasil. https://orcid.org/0009-0006-6235-9686
  • Levi Goyanna de Moura Instituto Doutor José Frota. Fortaleza (CE), Brasil. https://orcid.org/0009-0003-6223-4603
  • Maria Paula Lopes Ponte Prado Instituto Doutor José Frota. Fortaleza (CE), Brasil.
  • Mário Vilâny Gomes Bonfim Oliveira Faculdade Unichristus. Hospital Geral Waldemar Alcântara. Fortaleza (CE), Brasil. https://orcid.org/0009-0008-4054-6266
  • José Walter Feitosa Gomes Instituto Doutor José Frota. Fortaleza (CE), Brasil. https://orcid.org/0000-0002-7969-4927

DOI:

https://doi.org/10.32635/2176-9745.RBC.2026v72n1.5384

Keywords:

Pancreatic Neoplasms/diagnosis, Pancreatic Neoplasms/ surgery, Pancreas, Digestive System Surgical Procedures

Abstract

Introduction: Solid pseudopapillary tumor of the pancreas (SPTP), also known as Frantz’s tumor, is a rare neoplasm, accounting for approximately 0.17–2.7% of all pancreatic malignancies. The objective of this study is to report the case of an adolescent patient with SPTP who underwent laparoscopic surgery. Case report: A 13-year-old female, asymptomatic at presentation, was found to have a perisplenic lesion on routine abdominal ultrasonography. Follow-up imaging one year later demonstrated progressive enlargement of the lesion. Magnetic resonance imaging (MRI) revealed mass adjacent to the pancreatic tail. Laparoscopic resection was performed, for which histopathological evaluation combined with immunohistochemistry confirmed the diagnosis of Frantz’s tumor. Conclusion: SPTP predominantly affects young females and remains a diagnostic challenge due to its rarity, nonspecific or absent symptoms, and broad differential diagnosis. When technically feasible, laparoscopic resection offers favorable oncological outcomes and provides the advantages of minimally invasive surgery, including reduced postoperative morbidity and faster recovery compared to open procedures.

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Published

2025-11-19

How to Cite

1.
Porto Í de S, Lima Filho JN de, Moura LG de, Prado MPLP, Oliveira MVGB, Gomes JWF. Laparoscopic Surgical Treatment of a Solid Pseudopapillary Tumor of the Pancreas (Frantz’s Tumor): Case Report. Rev. Bras. Cancerol. [Internet]. 2025 Nov. 19 [cited 2025 Dec. 5];72(1):e-075384. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/5384

Issue

Section

CASE REPORT

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