Presentation
Abdominal pain. US revealed a lesion in the tail of pancreas.
Patient Data
Large encapsulated heterogenous (cystic and solid components) lesion in the pancreas tail with progressive enhancement with diffusion restriction (b=800 s/mm2) in the solid component.
Notice flash filling hemangiomas in the liver.
Case Discussion
Solid pseudopapillary tumor is a rare slow-growing pancreas tumor with low malignant potential and female predilection at age <40 years. Occurrence of metastasis and recurrence of the tumor rarely exist.
Usually resection is a curative treatment option. Large size (>5 cm or >8 cm according to different sources) and male gender may be negative prognostic factors.
In this case distal pancreatectomy was performed and biopsy of the post-surgical specimen confirmed a solid pseudopapillary tumor.
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