Solid pseudopapillary tumor of the pancreas

Case contributed by Jeremy Frank
Diagnosis probable


Weight loss. Early satiety. Bloating.

Patient Data

Age: 25
Gender: Female

Large well-defined encapsulated heterogeneous mass in pancreatic body/tail. Calcifications. Cystic/necrotic. Peripheral and septal enhancement. Vascular and visceral displacement. No metastases.

2 years post distal pancreatectomy surveillance. No recurrence. Patient well.

Case Discussion

  • rare primary pancreatic tumor, usually benign, typically in young women, and most commonly in body/tail
  • bulky encapsulated heterogenous solid and cystic/necrotic mass, with calcification and hemorrhage
  • low malignant potential, usually to liver
  • heterogeneous high T1 and high T2 signal on MRI, due to hemorrhage and cysts; fluid levels
  • distinguished from serous microcystic cystadenoma by lack of a central scar, location, and patient demographics
  • post distal pancreatectomy surveillance - surgical excision is usually curative

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