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Year : 2021  |  Volume : 11  |  Issue : 5  |  Page : 225-229

Aggressive pancreatic resections for Frantz tumours in a low-volume Caribbean hospital

1 Department of Surgery, Port of Spain General Hospital, Port of Spain, Trinidad and Tobago
2 Department of Surgery, Southampton General Hospital, Southampton, UK

Correspondence Address:
Dr. Shamir O Cawich
Department of Surgery, Port of Spain General Hospital, Port of Spain
Trinidad and Tobago
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/cmrp.cmrp_39_21

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Background: Frantz tumours are uncommon lesions worldwide and many surgeons would not encounter this lesion commonly throughout their practices. Aims: This study sought to document the therapeutic outcomes after pancreatic resections for Frantz neoplasms in a low-volume, resource-poor setting in the Caribbean. Materials and Methods: Data were retrospectively collected from patients who had pancreatic resections for Frantz tumours in Trinidad and Tobago between 1 June 2012 and 1 July 2017. Results: There were 12 patients with confirmed Frantz tumours, treated by one of four surgeons at a low volume of 0.6 cases per surgeon per year. The patients were all females at a mean age of 24.83 years (standard deviation [SD] ±7.6; Range 8–35; Median 25.5). A Whipple's resection was performed in 1 patient with a pancreatic head lesion, 2 had central pancreatectomies for lesions in the body and 6 had distal pancreatectomies, 2 with splenic preservation. Histologically, clear margins were achieved in all cases and none of the nodes examined contained metastatic disease. Nine (75%) patients had poor prognostic features present on pre-operative computed tomography scans and/or histopathologic examination. The sole complication was a Grade 1 post-operative pancreatic fistula. No deaths were recorded. All patients were alive without disease recurrence after a median of 34 months (Mean 36.75; SD ± 12.8; Range 12–52). Conclusion: Surgeons practicing in the Caribbean treat patients with pancreatic Frantz tumours at minimal volumes, performing aggressive resections with good outcomes. We advocate aggressive surgical resections for pancreatic solid pseudopapillary neoplasms, considering that outcomes are good and 75% of patients have unfavourable radiologic and/or histopathologic features present at the time of diagnosis.

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