Hepatic metastasis in Frantz’s tumor: A case report

• Published in: International journal of surgery case reports Vol. 71; pp. 66 - 69
• Main Authors: Albuquerque, Gisela Pereira Xavier, Ramos, Aline Maria Pereira Cruz, Anaissi, Ana Karyssa Mendes, Demachki, Samia, Barra, Williams Fernandes, Soares, Helena Cecilia Branches, Costa, Marta Solange Camarinha Ramos, Pantoja, Amanda Carolina Rozario, Ishak, Geraldo, Assumpção, Paulo Pimentel
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01-01-2020; Elsevier
• Subjects: Case report; Frantz’s tumor; Hepatic metastasis; Pancreatic tumor; Solid pseudopapillary neoplasm; Pancreatic tumor; MR; TA-USG; Solid pseudopapillary neoplasm; STP; SPN; CT; ACT; Case report; AJCC; Frantz’s tumor; Hepatic metastasis; WHO
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2020.04.037

•This is a borderline tumor with indolent biological behavior.•There are still multiple poorly understood factors that can dictate its malignant transformation and prognosis.•Here, a rare tumor whose age and survival are tangent the literature reports describe.•There is a need for a long and rigorous segment to identify possible long-term metastases.
Frantz’s Tumor or Solid Pseudopapillary Neoplasm (SPN) is rare with a solid-cystic pattern, and most common in young women.
This study based on guidelines for case reports (SCARE) reports a case of SPN in a teenager aged 13 years at the diagnosis time, attended at a teaching public hospital in Brazil, which evolved into liver metastases. Clinical, laboratory, therapeutic and imaging data were collected from the physical chart and analyzed in light of current publications on the topic. The first consultation occurred in January 2012, where weight loss, fever, vomiting, left-sided hypochondrium and epigastric pain were reported. Imaging exams evidenced an expansive heterogeneous process in the pancreatic tail; however, laboratory exams and tumor markers did not present alteration in relation to reference values. In March of 2012, she underwent caudal body pancreatectomy, splenectomy, segmental colectomy and colo-coloanastomosis as a function of the intraoperative findings. After 63 months, right-sided hepatectomy was performed to resect metastases. Currently, she is undergoing outpatient monitoring, without complaint or alterations in imaging and laboratory exams, totaling 100 months of global survival.
This is an interesting case report of a rare tumor, in so far as without any adjuvant chemotherapies, an 8-year long survival time could be achieved in this particular type of tumor despite initially large tumor expansion and later liver metastases.
Additional epidemiological studies, molecular and clinical trials are required to increase knowledge on SPN.