Related Experiment Videos
Solid pseudopapillary pancreatic tumor in pregnancy. A case report
Chanan Levy1, Leonardo Pereira, Thomas Dardarian
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Thomas Jefferson University, Pennsylvania Hospital, Philadelphia, USA.
The Journal of Reproductive Medicine
|February 24, 2004
Summary
Solid pseudopapillary tumor (SPT) can mimic hyperemesis gravidarum in pregnant women. Surgical resection during pregnancy is feasible but may not resolve pregnancy-related gastrointestinal symptoms.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Reproductive Medicine
Background:
- Solid pseudopapillary tumor (SPT) is a rare pancreatic neoplasm primarily affecting young African American women.
- SPT growth can accelerate during pregnancy due to progesterone influence.
Observation:
- An 8-cm SPT in the pancreatic head presented as hyperemesis gravidarum in a pregnant patient.
- Surgical resection at 16 weeks' gestation did not alleviate the patient's symptoms.
Findings:
- SPT can manifest as hyperemesis gravidarum.
- Progesterone may stimulate SPT growth during gestation.
- Pancreatic SPT resection during pregnancy is possible without adverse fetal outcomes.
Implications:
- Consider SPT in the differential diagnosis for refractory hyperemesis gravidarum, especially in African American patients.
- Surgical intervention during pregnancy is a viable option for SPT, though gastrointestinal symptom resolution is not guaranteed.
- Further research into progesterone's role in SPT progression and management strategies during pregnancy is warranted.