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Solid pseudopapillary tumor in an ectopic pancreas: an unusual presentation
Sudeep Khaniya1, Vikal Chandra Shakya2, Rabin Koirala3
1Department of Surgery, Neurocardiac and Multispeciality Hospital, Biratnagar, Nepal.
Journal of Surgical Case Reports
|May 2, 2017
Summary
A rare pancreatic tumor, solid pseudopapillary tumor, was found in the mesenteric root, an unusal location. Surgical resection and chemotherapy led to a positive outcome for the patient.
Area of Science:
- Gastroenterology
- Oncology
- Surgical Pathology
Background:
- Pancreatic solid pseudopapillary tumor (SPT) is a rare malignant neoplasm.
- SPT typically originates in the pancreas but can rarely occur at ectopic sites.
Observation:
- This report details a unique case of SPT arising from the mesenteric root in an adult male.
- This presentation represents the first documented instance of SPT originating in the mesenteric root.
Findings:
- The patient underwent successful complete surgical resection of the mesenteric root SPT.
- Adjuvant chemotherapy with six cycles was administered post-resection.
Implications:
- This case expands the known spectrum of ectopic presentations for pancreatic solid pseudopapillary tumors.
- Complete resection and adjuvant chemotherapy appear to be effective management strategies for this rare tumor presentation.

