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Hellenic Archives of Pathology, Volume 21, Issues 1-3, 2007, 38-47
Solid-pseudopapillary tumor of the pancreas.
Report of a case and review of the literature
Samaras V.1, Tsikou-Papafragou A.1, Asimaki N.1, Tsikos K.2, Karaliotas K.2, Barbatis C.1
Pathology Department1 and
2nd Surgical Clinic2
"Korgialenio-Benakio" Athens
Solid pseudopapillary tumors are uncommon neoplasms of low malignant potential and uncertain histogenesis usually occurring in young women. They usually present as intrapancreatic cystic-solid large tumors but parapancreatic sites are described. They are frequently asymptomatic and the neoplasm is characterized by slow growth, low metastatic potential and a long survival even with disseminated disease. This is a report of a case of a 22-year old female who presented with intermittent abdominal pain and vomiting. Computer tomography (CT) and magnetic resonance imaging (MRI) revealed a mass in the tail of the pancreas. En-block distal pancreatectomy and splenectomy was performed and a tumor measuring 15x13x8 cm was identified. The mass was encapsulated with extensive haemorrhage, mostly cystic, with friable, red brown, solid areas. The histological features and the immonophenotype were characteristic of a solid pseudopapillary tumor. In follow up the patient was found free of disease and alive three years later.
Key words: Solid-pseudopapillary tumor, pancreas, papillary, cystic.
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