Asymptomatic, solid 4cm tumor of distal pancreas. Treatment
Resectional Surgery for pancreatic Body and Tail Tumors Most body and tail cancers have already metastasized to distant sits or extended locally to involve nodes, nerves or major vessels by the time of diagnosis Splenic vein involvement or occlusion is not a sign of nonresectability Involvement of the splenic and SMV confluence generally precludes resection Resection involves a distal pancreatectomy either with or without concomitant splenectomy Splenectomy is usually performed with distal pancreatectomy in patients suspected of having carcinoma to obtain better margins, to remove the lymph nodes at the tip of the pancreas and hilum of the spleen, and to avoid tedious dissection of the splenic aery and vein Ref: Sabiston 20th edition Pgno :1547
Observation
Distal pancreatectomy with splenectomy
Near total pancreatectomy with splenectomy
Distal pancreatectomy alone
G.I.T