Solid pseudopapillary tumour of the pancreas
18 year-old girl presenting with an abdominal mass
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Large mass in the tail of pancreas, with both solid and cystic components. No internal calcification. Enhancing rim/capsule. No pancreatic duct dilatation.
Mass effect on the splenic vein with resultant large varices anterior to the mass.
3 case questions available
There are a multitude of cystic lesions of the pancreas. Many have been given more than one name/term over the years resulting in confusion. One such tumour is the solid pseudopapillary tumour of the pancreas - in 1996 the WHO asigned this name for clarification in the histological classifications. Originally described by Franz in 1959, its origin name was a Franz-Gruber tumour.
It has a number of imaging characteristics, as well as demographic aspects common to this rare pancreatic tumour.
Solid pseudopapillary tumour of the pancreas is typically large at presentation ( 10cm on average ), has a proponderance for the tail of pancreas and contains both solid and cystic components. It has a enhancing capsule, may contain haemorrhagic components and in less than 10% contains calcification.
- Choi JY, Kim MJ, Kim JH et-al. Solid pseudopapillary tumor of the pancreas: typical and atypical manifestations. AJR Am J Roentgenol. 2006;187 (2): W178-86. AJR Am J Roentgenol (full text) - doi:10.2214/AJR.05.0569 - Pubmed citation
- Yao X, Ji Y, Zeng M et-al. Solid pseudopapillary tumor of the pancreas: cross-sectional imaging and pathologic correlation. Pancreas. 2010;39 (4): 486-91. doi:10.1097/MPA.0b013e3181bd6839 - Pubmed citation
- Frantz VK. Tumors of the pancreas. Atlas of tumor pathology: fasc 27–28, ser 7. Washington, DC: Armed Forces Institute of Pathology, 1959; 32-33
- Kawamoto S, Scudiere J, Hruban RH et-al. Solid-pseudopapillary neoplasm of the pancreas: spectrum of findings on multidetector CT. Clin Imaging. 2011;35 (1): 21-8. doi:10.1016/j.clinimag.2009.11.007 - Pubmed citation