Aggressive behaviour of solid-pseudopapillary tumor of the pancreas in adults: A case report and review of the literature

Table 3 Patients with recurrent disease after potentially curative resection

Author	Yr	Extrapancreatic disease at diagnosis	Therapy	Site, time of recurrence (mo), therapy	Mo from 1st recurrence & follow-up
Levy et al[29]	1997	Peritoneal metastases	DP, Omentectomy, lymphadenectomy	Peritoneal carcinomatosis (8): complete resection. Liver (16)	29, AWD
Shimizu et al[30]	1999	No	DP	Liver (17)	3, DOP
Rebhandl et al[31] Martin et al[17]	2001 2002	No	SPDP	Peritoneum-omentum (24) radical resection. Spleen, peritoneum (36) tumor debulking; CT. Recurrence lesser omentum (>72) tumor resection, interferon.	> 54, NED
		Liver	Resection	Liver, NA	8, DOD
		Liver	Resection	Liver, NA	72, AWD
Gedaly et al[32]	2002	no	DCP	Liver (36), hepatectomy; liver (72), RF	48, AWD
Tang et al[33] Takahashi et al[34]	2005 2005	No Liver (multiple nodules)	DCP DP, adrenalectomy & enucleation of 38 hepatic nodules	Liver, (3)	13, DOD 46, AWD
				Liver (14, 27, 38)/enucleation of 14, 21, 19 nodules;
				lung (41)/ lung resection
Huang H-L et al[35] Kang et al[36]	2005 2006	No Peripancreatic nodes	SPDP DP	Liver (168)	10, DOD 17, DOD
				Liver, CT, TACE,( 9),
				Surgery + RF
Tipton et al[27] Cao et al[37]	2006 2006	Incomplete resection	DP	Subcutaneous (14): removed; intra-abdominal recurrences removed (?)	94, NED
		no	UR	Liver, (57)	3, DOD
		no	UR	Liver, (72)	0, AWD
		no	UR	Liver (11), resection	110, NED
Adamthwaite et al[38]	2006	nodes	DCP	Liver (2)	0.5, DOD
Nagri et al[39]	2007	duodenum	Resection	Liver (48)	48, AWD
Present patient	2007	No	Resection	Liver (32), CT	45, AWD

SPDP: Spleen preserving distal pancreatectomy; DP: Distal pancreatectomy; PD: Pancreaticoduodenectomy; UR: Unspecified resection; TACE: Transarterial chemoembolization; CT: Chemotherapy; RF: Radiofrequency; NA: Not available; DOD: Died of disease; DOP: Died of procedure (TAE); AWD: Alive with disease; NED: No evidence of disease.