Incidental detection of a small solid pseudopapillary neoplasm of the pancreas after a traffic accident in a 12-year-old girl: a case report

Kim, Younglim; Moon, Sun-Young

doi:10.2147/imcrj.s93654

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…It still remains unclear whether the tumor composition can be used as a malignant risk factor. It has to be clarified whether SPN with a malignant potential tend to grow larger, or tend to become more solid and larger at the same time [106]. Results are summarized in Table 3.…”

Section: Risk Factors For Malignancymentioning

confidence: 99%

Solid Pseudopapillary Neoplasms of the Pancreas: A Surgical and Genetic Enigma

et al. 2017

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Solid pseudopapillary neoplasms of the pancreas are rare tumors accounting for 1-2% of pancreatic exocrine neoplasms. This entity was first described by Dr. Frantz in 1959 and was defined by the World Health Organization in 1996 as "solid pseudopapillary tumor." It is most often a benign neoplasm, but 10-15% of the cases are malignant. Over the past decades, the incidence of this tumor is increasing. However, many surgeons are still unfamiliar with this neoplasm and its unique characteristics, which can lead to pitfalls in the diagnosis and treatment. The correct diagnosis of SPNP is of utmost importance since it has a low malignant potential and with the appropriate treatment, patients have a long life expectancy. There are many genetic alterations, involving various signaling pathways that have been associated with SPNP and are very important in diagnosing the tumor. The cornerstone of SPNP treatment includes surgical excision of the tumor, preserving as much pancreatic tissue as possible. We review the information in the literature regarding more organ-preserving techniques and possible clinical features that might indicate a malignant potential, thus demanding a more radical intraoperative excision.

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Section: Risk Factors For Malignancymentioning

confidence: 99%

Solid Pseudopapillary Neoplasms of the Pancreas: A Surgical and Genetic Enigma

et al. 2017

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“…To the best of our knowledge, only a total of 34 pediatric patients (less than 18 years old) has undergone MIDP for SPN of the pancreatic body or tail in English literature ( Table 1 ) [ 2 , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] ]. Of 34 MIDPs, spleen preservation was attempted in 26 cases; however, splenectomy was required for 2 cases, one for a tumor in the close vicinity of the splenic hilum and the other one for a tumor in which the splenic vessels were embedded.…”

Section: Discussionmentioning

confidence: 99%

Precision anatomy for minimally invasive spleen-preserving distal pancreatectomy in children: A case report of solid-pseudopapillary neoplasm in a 12-year-old girl

Hirao,

Isono,

Abe

et al. 2023

International Journal of Surgery Case Reports

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Silent Presentation of a Solid Pseudopapillary Neoplasm of the Pancreas

et al. 2017

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Patient: Female, 14Final Diagnosis: Solid pseudopapillary neoplasm of the pancreasSymptoms: NoneMedication: —Clinical Procedure: —Specialty: RadiologyObjective:Rare diseaseBackground:Solid pseudopapillary neoplasm (SPN) is a rare tumor frequently found in the head or tail of the pancreas. It mainly presents in young women between the 2nd and 3rd decades of life. A predilection for African Americans and Asians has been observed and is rarely reported in children. Most patients are symptomatic, with abdominal pain as the most common presenting symptom. Clinical laboratory test results are usually normal and pancreatic markers are not typically elevated. Metastatic disease is very uncommon, but most often metastasizes to the liver and regional lymph nodes. Prognosis is usually excellent after surgical resection.Case Report:We present the case of a 14-year-old Hispanic female who presented to the emergency department after a high-speed motor vehicle accident. She suffered multiple body traumas. Specifically, the patient referred severe epigastric pain. No significant past medical or surgical history was obtained. Laboratory workup was non-contributory. Further evaluation with abdomen and pelvis contrast-enhanced computed tomography and magnetic resonance imaging revealed a pancreatic tail mass. Distal pancreatectomy followed. Pathologic diagnosis of SPN was established.Conclusions:SPN is a rare exocrine tumor with excellent prognosis following resection. Imaging findings are suggestive, but a pathology evaluation is necessary to make the final diagnosis. Differential diagnosis includes entities such as mucinous cystic pancreatic tumor, pancreatic ductal carcinoma, and pancreatic serous cystadenoma. Radiologists play a vital role in the diagnosis, since many times, as in our case, it presents as an incidental finding. A small percentage of SPN neoplasms are associated with metastasis or local recurrence. Therefore, the aim of our case presentation is to review key imaging findings to guide early management and surgical planning.

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Incidental detection of a small solid pseudopapillary neoplasm of the pancreas after a traffic accident in a 12-year-old girl: a case report

Cited by 3 publications

References 12 publications

Solid Pseudopapillary Neoplasms of the Pancreas: A Surgical and Genetic Enigma

Solid Pseudopapillary Neoplasms of the Pancreas: A Surgical and Genetic Enigma

Precision anatomy for minimally invasive spleen-preserving distal pancreatectomy in children: A case report of solid-pseudopapillary neoplasm in a 12-year-old girl

Silent Presentation of a Solid Pseudopapillary Neoplasm of the Pancreas

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