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Published on: April 17, 2026
Solid pseudopapillary tumor of the pancreas: a case report
Erdal Karagülle1, Erkan Yildirim, Emin Türk
1Department of General Surgery, Başkent University Faculty of Medicine, Konya, Turkey. erenka2000@hotmail.com
Summary
A rare pancreatic tumor, solid pseudopapillary tumor, was diagnosed in a woman with a long-standing abdominal mass. Surgical removal resulted in a positive outcome with no recurrence after one year.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Solid pseudopapillary tumor (SPOT) is a rare, low-grade malignant neoplasm of the pancreas, predominantly affecting young women.
- Early and accurate diagnosis is crucial for effective management and favorable prognosis.
Observation:
- A 29-year-old woman presented with a 10-year history of an abdominal mass and 1-year history of abdominal pain.
- Imaging revealed a large (97-80 mm) pancreatic head mass with cystic and calcified areas.
- Percutaneous biopsy confirmed a solid pseudopapillary tumor.
Findings:
- Surgical exploration identified a 10 cm encapsulated pancreatic mass involving the portal vein and transverse colon mesentery.
- A pylorus-preserving pancreaticoduodenectomy was successfully performed.
- Histopathology confirmed the diagnosis of solid pseudopapillary tumor.
Implications:
- This case highlights the importance of differentiating solid pseudopapillary tumors from other pancreatic malignancies due to their typically benign clinical course.
- Successful surgical resection can lead to long-term remission, as evidenced by the patient's normal 12-month follow-up.
- Multimodality imaging and biopsy are essential for preoperative diagnosis and surgical planning.
