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Solid pseudopapillary tumour of pancreas.
Ashish Singh1, Akshay Anand Agarwal, Abhinav Arun Sonkar
1Department of Surgery, King George Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Reports
|April 19, 2014
Summary
Solid pseudopapillary tumors of the pancreas are rare pancreatic neoplasms. Surgical resection offers a favorable prognosis for this treatable condition.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Solid pseudopapillary tumor (SPOT) of the pancreas is a rare pancreatic neoplasm, accounting for approximately 1% of all pancreatic tumors.
- This rare tumor predominantly affects young women and is typically managed with surgical resection, often resulting in a favorable prognosis.
Observation:
- An 18-year-old female presented with a 5-week history of moderate abdominal pain and a palpable abdominal mass.
- Contrast-enhanced CT revealed a soft tissue lesion originating from the pancreatic uncinate process, causing adjacent compression.
- Endoscopic ultrasound-guided fine-needle aspiration biopsy showed a cellular sample with pseudopapillary arrangements and bland-appearing tumor cells, suggestive of a benign neoplasm.
Findings:
- The patient underwent a Whipple procedure due to the tumor's unusual location.
- Final histology confirmed the diagnosis of solid pseudopapillary tumor of the pancreas.
- The patient was discharged in satisfactory condition post-surgery.
Implications:
- Solid pseudopapillary tumors of the pancreas are rare but treatable pancreatic neoplasms.
- Complete surgical excision is the primary treatment modality for SPOT.
- Surgical resection can be performed using either open or minimal access techniques, ensuring favorable outcomes.
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