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Pancreatic solid pseudopapillary neoplasm, rare presentation in pediatric age group: two case reports
Khaled Alshawwa1, Yumna Njoum2, Hamza A Abdul-Hafez3
1Department of General Surgery, Al-Makassed Charitable Society Hospital, Jerusalem, Palestine.
Frontiers in Oncology
|March 27, 2025
Summary
Solid pseudopapillary neoplasm (SPN), a rare pancreatic tumor, can present atypically in children. Early detection and surgical resection offer favorable outcomes for pediatric patients.
Area of Science:
- Oncology
- Pediatric Surgery
- Gastroenterology
Background:
- Solid pseudopapillary neoplasm (SPN) is a rare pancreatic tumor predominantly affecting young females.
- SPN often remains asymptomatic until significant growth, with varied locations in adults versus children.
Observation:
- Two pediatric female patients presented with nonspecific symptoms including epigastric pain, nausea, and carpopedal spasms.
- Imaging revealed large, cystic-solid pancreatic masses in both cases.
Findings:
- Both patients underwent successful Whipple procedures (pancreaticoduodenectomy) achieving R0 resection.
- Pathology confirmed SPNs with no lymphovascular or perineural invasion and clear surgical margins.
Implications:
- This case series highlights the diverse clinical presentations of pancreatic SPN in adolescents.
- Early diagnosis and surgical management are crucial for favorable outcomes in pediatric SPN.
- Clinicians should consider SPN in the differential diagnosis for young females with pancreatic masses.
