Cosimo Sperti offers proposed the indications of aggressive surgery, whenever possible, in advanced tumors even, and in centers with high level of pancreatic surgery. Although regular chemo-radiotherapeutic regimens usually do not exist, a multimodality approach may give long-term survival prospects even in working with advanced tumors.. A long-term survival provided by resection of solid-pseudopapillary tumor of the pancreas? The article published in volume 14 issue 6 of World Journal of Gastroenterology reports using one patient who presented to Dr Cosimo Sperti of University of Padua, Padova, Italy, in 2001 after an exploratory laparotomy performed in another hospital for an unresectable pancreatic cystic mass that had infiltrated the portal vein.During this time period, 3311 women had an initial thrombotic stroke , and 1725 had an initial myocardial infarction. The full case fatality rate during the primary event or subsequent medical center stay was 1.0 percent for thrombotic stroke and 10.8 percent for myocardial infarction .). Women with the best level of education had about 50 percent as much thrombotic strokes and approximately one third as much myocardial infarctions as females with the lowest level of education .