Presentation
No specific complaints. Ultrasound: round lesions in the liver.
Patient Data
Well-encapsulated heterogeneous mass originating in pancreatic tail. Peripheric calcifications. No invasion of splenic vein and artery. Surrounding fat is intact.
Several liver foci with bright arterial enhancement. In the portal venous phase, they are almost isoattenuating to the liver. Small lesion in the right lobe has a hypodense central scar.
Tumor of pancreatic tail (red arrows).
Focal nodular hyperplasia (blue arrows).
Case Discussion
This pancreatic tumor was resected. Histopathology confirmed the diagnosis of solid pseudopapillary tumor (SPEN). SPEN is a rare neoplasm seen in young women (20-30 years old). It may be benign (our case) or malignant.
Typical focal nodular hyperplasia of the liver is also demonstrated.