Diagnostic imaging of a solid pseudopapillary tumour of the pancreas in a 20-year-old woman – a case study

Rajtar, Katarzyna Z.; Sznajder, Katarzyna; Milto, Katarzyna M.

doi:10.5114/pg.2016.57882

Cited by 3 publications

(4 citation statements)

References 7 publications

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“…The presence of an encapsulated mass consisting of both cystic and solid components and intratumoral hemorrhage are useful factors to distinguish SPNs from its other malignant differentials (5,10,22). With the presence of these pathognomonic features of SPNs, a CT scan is considered adequate to establish the preoperative diagnosis (23,24).…”

Section: A B Cmentioning

confidence: 99%

“…On the other hand, Magnetic Resonance Imaging (MRI), is considered as a second-line imaging modality as it can demonstrate further information with regards to hemorrhage and necrosis of the tumor's tissue (23,24). Typically, SPNs would show a vascular, encapsulated mass composed of both mixed cystic and solid components with a high-signal intensity on T1 and low signal intensity on T2 series representing hemorrhagic areas on MRI (22,25).…”

Section: A B Cmentioning

confidence: 99%

“…Typically, SPNs would show a vascular, encapsulated mass composed of both mixed cystic and solid components with a high-signal intensity on T1 and low signal intensity on T2 series representing hemorrhagic areas on MRI (22,25). Dan et al have highlighted that MRI was not necessary in their reported cases of SPNs located in the tail of the pancreas, where a CT scan was able to demonstrate the pathognomonic features of SPN (23,24).…”

Section: A B Cmentioning

confidence: 99%

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Huge solid pseudopapillary tumor of the pancreas ‘Frantz tumor’: a case report

AlQattan

Alshaqaq

Abdrabalnabi

et al. 2020

J Gastrointest Oncol

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Solid pseudopapillary neoplasms (SPN) of the pancreas are rare neoplasms accounting for 1-2% of all pancreatic tumors and have a general female predominance. We report a case and intraoperative videos of SPN involving the whole pancreatic tail. A 19-year-old female patient initially presented to another healthcare facility complaining of abdominal pain, which was started 6 years ago. A contrast-enhanced Computed Tomography (CT) scan of the abdomen showed a large mass measuring 15.6 cm × 11.6 cm × 11 cm, arising from the pancreas with an enhancing cystic component. The patient underwent exploratory laparotomy, which revealed a huge mass occupying most of the abdominal cavity. Thus, we proceeded with a distal pancreatectomy and splenectomy. Intraoperatively, the frozen section showed that the mass had features of a solid pseudopapillary tumor of the pancreas with negative resection margins. The SPN diagnosis was confirmed by histopathology and immunohistochemistry. The pathophysiology behind the development of SPN and its cellular origin is still a matter of debate with multiple proposed hypotheses.SPNs are asymptomatic in almost 70% of all cases and usually discovered incidentally. The pre-operative diagnosis of SPNs remains a clinical challenge despite all the current advances in the diagnostic modalities. Surgical management with negative resection margins is the mainstay of treatment, even with metastasis and vascular invasion, surgical excision should be performed whenever feasible. The recurrence rate after surgical resection has been reported to be 3-9%. The prognosis of SPN limited to the pancreas is generally excellent with over 95% cure rate following complete surgical resection. SPN is a rare entity of a controversial origin but is considered as a low-grade malignancy. Surgical resection to achieve complete excision constitutes the mainstay of treatment, which mostly results in an excellent prognosis.

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Section: A B Cmentioning

confidence: 99%

Section: A B Cmentioning

confidence: 99%

Section: A B Cmentioning

confidence: 99%

See 1 more Smart Citation

Huge solid pseudopapillary tumor of the pancreas ‘Frantz tumor’: a case report

AlQattan

Alshaqaq

Abdrabalnabi

et al. 2020

J Gastrointest Oncol

View full text Add to dashboard Cite

show abstract

“…On MRI, the neoplasm is seen as a well-defined lesion with a mix of high and low signal intensity on T1and T2-weighted images, which reflects the complex nature of the mass. Areas filled with blood products demonstrate high signal intensity on T1-weighted images [94]. On EUS, SPNs are usually well-defined, hypoechoic masses.…”

Section: Solid Pseudopapillary Neoplasm (Spn)mentioning

confidence: 99%

An updated review of pancreatic cystic lesions

Muralidharan¹,

Raj²,

Nathala³

2019

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A pancreatic cystic lesion (PCL) is a collection of fluid in the pancreas, which is often diagnosed incidentally during abdominal imaging, and often poses a diagnostic and therapeutic challenge. PCLs not only have diverse histological and imaging appearances but also differ in clinical presentation, biologic behaviour, growth pattern, and risk of malignancy. Apart from their diagnosis, the management of PCL is also multifactorial, which takes into consideration risk of malignancy, cost of cyst analysis, cyst surveillance, anatomic location of the cyst, the patient's age, and overall health status. Although guidelines exist for surgical and conservative management, each case needs to be tailored to malignant risk, surgical risk, and life expectancy in mind. This would thereby reduce both the monetary and non-monetary burden on patients. In this review, we aim to provide insight into the various recent advances in the diagnosis and management of PCL. Streszczenie Zmiana torbielowata w trzustce (PCL) to zbiornik płynu, który często jest diagnozowany przypadkowo podczas obrazowania jamy brzusznej. Nierzadko stanowi on wyzwanie diagnostyczne i terapeutyczne. Zmiany torbielowate różnią się między sobą wynikami badań histologicznych i obrazowych, a także obrazem klinicznym, cechami biologicznymi, wzorcem wzrostu i ryzykiem nowotworu. Postępowanie w PCL jest wieloczynnikowe, uwzględnia ryzyko złośliwości, koszty analizy torbieli, kontrolę nad torbielą, jej lokalizację anatomiczną, wiek i ogólny stan zdrowia pacjenta. Chociaż istnieją wytyczne dotyczące postępowania chirurgicznego i zachowawczego, każdy przypadek musi być rozpatrywany indywidualnie z uwzględnieniem ryzyka złośliwości, ryzyka chirurgicznego i średniej długości życia. W ten sposób zmniejszyłoby się obciążenie pacjentów-zarówno finansowe, jak i innego rodzaju. Autorzy przedstawiają najnowsze informacje dotyczące postępów w diagnostyce i leczeniu PCL.

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Solid Pseudopapillary Neoplasm of the Pancreas -Raising Awareness of a Rare Tumor

Neagu¹,

Pascariu²,

Raad³

et al. 2021

Internal Medicine

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Solid pseudopapillary neoplasm (SPN) is a rare clinical entity. One third of the patients are asymptomatic and the diagnostic is based on imaging studies (abdominal ultrasound, computed tomography, magnetic resonance imaging) and histological examination of biopsies obtained most frequently by endoscopic ultrasound-guided fine-needle aspiration. In this article we made a short review of the literature and present the imaging and histological aspects found in our patients with SNP.

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Diagnostic imaging of a solid pseudopapillary tumour of the pancreas in a 20-year-old woman – a case study

Cited by 3 publications

References 7 publications

Huge solid pseudopapillary tumor of the pancreas ‘Frantz tumor’: a case report

Huge solid pseudopapillary tumor of the pancreas ‘Frantz tumor’: a case report

An updated review of pancreatic cystic lesions

Solid Pseudopapillary Neoplasm of the Pancreas -Raising Awareness of a Rare Tumor

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