A pancreatic pseudopapillary tumor enucleated curatively

Area of Science:

• Oncology
• Gastroenterology
• Surgical Pathology

Background:

• Pseudopapillary tumors (PPT) of the pancreas are exceptionally rare, accounting for 0.3-2.7% of all pancreatic tumors, predominantly affecting young women.
• While generally benign, PPTs can exhibit aggressive behavior, leading to invasion and distant metastasis.
• Accurate diagnosis relies on radiological imaging and biochemical markers, with surgical resection being the primary treatment modality.

Purpose of the Study:

• To present a case of a pancreatic pseudopapillary tumor in an 18-year-old female.
• To highlight the diagnostic and therapeutic considerations for this rare pancreatic neoplasm.

Main Methods:

• Case presentation of an 18-year-old female with abdominal pain and discomfort.
• Diagnostic imaging utilizing abdominal computed tomography (CT) to identify a pancreatic mass.
• Histological examination to confirm the diagnosis of a solid pancreatic pseudopapillary tumor.

Main Results:

• Abdominal CT revealed a 6x5 cm mass located between the pancreatic head and right adrenal gland.
• Histological assessment confirmed a solid pseudopapillary tumor of the pancreas with clear surgical margins.
• The patient presented with symptoms of abdominal discomfort and pain.

Conclusions:

• Pancreatic pseudopapillary tumors are rare, indolent neoplasms primarily affecting young adults, often presenting with vague symptoms or incidentally found.
• Complete surgical resection (R0) is the definitive and most effective treatment for PPT.
• Despite their typically benign nature, PPTs possess the potential for malignant transformation and metastasis, underscoring the importance of early detection and surgical intervention.