Presentation
Weight loss. Early satiety. Bloating.
Patient Data
Age: 25
Gender: Female
From the case:
Solid pseudopapillary tumor of the pancreas
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Axial non-contrast
Large well-defined encapsulated heterogeneous mass in pancreatic body/tail. Calcifications. Cystic/necrotic. Peripheral and septal enhancement. Vascular and visceral displacement. No metastases.
From the case:
Solid pseudopapillary tumor of the pancreas
Axial C+ arterial phase
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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