Title: Solid Pseudopapillary Neoplasm: A Case Report of a Rare Pancreatic Tumor
Authors: Dr Shikha Sharma, Dr Himani Thakur, Dr Sarita Asotra, Dr U K Chandel, Dr Kailash Mohan Bhandari
DOI: https://dx.doi.org/10.18535/jmscr/v11i5.08
Abstract
Solid Pseudopapillary Neoplasm (SPN) of pancreas is a rare neoplasm with a reported incidence of 0.1-2.7% of all pancreatic tumors. SPN is mostly seen in young females. It has a low malignant potential and has an excellent prognosis. We report a case of 41 years old female who presented with an abdominal lump. A mass measuring9.4×6.2 cm was noted on CECT. The diagnosis of Solid Pseudopapillary Neoplasm of Pancreas was confirmed on histopathological examination. Being a rare tumor of pancreas, SPN is often missed on radiological examination. A solid/cystic mass on gross examination and microscopic presence of solid and papillary arrangement of cells is highly suggestive of SPN. Solid areas comprise of sheets and cords of round or ovoid, bland cells arranged on the perimeter of delicate fibrovascular septa. Malignant SPN, designated as a solid pseudopapillary carcinoma, is seen in about 15% of adult patients. Surgical resection of the tumor is the mainstay of therapy of SPN.Strict post-operative follow-up is necessary to keep a check on local and distant metastasis.
Keywords: Solid Pseudopapillary Neoplasm, SPN, Pancreas.
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