Solid Pseudopapillary Tumor of Pancreas

Abstract

Background and objective : Solid pseudopapillary tumor (SPT) of the pancreas is an rare neoplasm accounting for less than 2% of exocrine pancreatic tumors affects mostly in young female present with abdominal pain or palpable abdominal mass as often clinical manifestations whereas fever is present only 1-2%.  The present case report  is  the first reported case in Thailand and presented  with  atypical presentation

Methods : In this review, demonstrated all patient’s medical history, physical examinations and other investigations included laboratory results, imaging studies, and endoscopic result. Treatment and review literatures also included in this first report.

Results : A 19-year old girl presented with fever, abdominal pain and palpable abdominal mass. The first differential diagnosis was either a pancreatic abscess or a infected pancreatic pseudocyst. After many investigations were done, it could not get a definite diagnosis. Finally, laparoscopic distal pancreatectomy for histopathology was demonstrated that it was SPT of the pancrease.

Conclusion : To our knowledge, this is the first case report of SPT in Thailand. An rare pancreatic neoplasm affects mostly in young female present with abdominal pain or palpable abdominal mass as often clinical manifestations whereas fever is present only 1-2%. Imaging investigations such as ultrasonography, computed tomography, magnetic resonance and endoscopic ultrasound of the abdomen usually found both solid and cystic mass. The endoscopic ultrasound with fine needle aspiration may increase diagnosis yield, but histological diagnosis by the surgical resection is the best maneuver. After total surgical resection of SPT, excellent prognosis has been reported.

Key words : Solid Pseudopapillary Tumor, SPT