Solid pseudopapillary tumor of pancreas

Case contributed by Dr Mostafa El-Feky

Presentation

Epigastric discomfort.

Patient Data

Age: 30 years
Gender: Female
MRI

MRCP

A complex mass lesion arises from the head of the pancreas in the pancreaticoduodenal groove with small cystic changes. It measures 6 x 7 cm in axial dimensions. Mild enhancement of the solid component. No vascular contacts (venous or arterial). No surrounding organ infiltrations. No biliary or pancreatic ductal dilatations. Normal body and tail of the pancreas.  

Normal size, shape, and MRI signal of the liver; with no focal lesions detected, apart from multiple tiny simple cysts, around 5 mm each, showing water-like signal with no enhancement or diffusion restriction.

Case Discussion

This case represents a complex pancreatic head lesion that is predominately solid with small cystic changes and no biliary ducts dilatation. It shows a lobulated outline with mild heterogeneous enhancement and no diffusion restriction. Such features are suggestive of a solid pseudopapillary tumor of the pancreas. It is usually asymptomatic at the time of diagnosis and discovered incidentally. Complete excision is recommended as ~15% can be malignant.

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Case information

rID: 54896
Published: 19th Oct 2017
Last edited: 25th Sep 2019
Inclusion in quiz mode: Included
Institution: Dar El Ashaa Center

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