Solid Pseudopapillary Tumor in a Pregnant Woman Imaging Findings and Literature Review
-A solid pseudopapillary neoplasm is a rare pancreatic tumor accounting for 1–2% of exocrine pancreatic neoplasms. It is usually asymptomatic and discovered incidentally. It is mainly seen in young women between the second and third decades of life. Although it usually has a large size at the time o...
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Published in | Oman medical journal Vol. 30; no. 6; pp. 482 - 486 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Muscat - Oman
Oman Medical Specialty Board
01.11.2015
OMJ |
Subjects | |
Online Access | Get full text |
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Summary: | -A solid pseudopapillary neoplasm is a rare pancreatic tumor accounting for 1–2% of
exocrine pancreatic neoplasms. It is usually asymptomatic and discovered incidentally. It
is mainly seen in young women between the second and third decades of life. Although
it usually has a large size at the time of diagnosis, it is considered to have low malignant
potential. Solid pseudopapillary tumors (SPTs) have characteristic magnetic resonance
imaging (MRI) features that enable it to be differentiated from other more common
pancreatic tumors. Here, we report the case of a 34-year-old pregnant woman who was
admitted to The Royal Hospital, Oman, with a large mass in her pancreas, which was
incidentally discovered during abdominal ultrasonography. The mass was investigated
further with MRI. The MRI revealed a well-defined mass related to the tail and body of the
pancreas with solid and cystic components. It had a heterogeneous texture with fluid levels
of different signal intensities due to the presence of blood of different ages. The cystic-solid
appearance of an encapsulated lesion with characteristic signal intensity on MRI suggested
the possibility of a SPT. Postoperative histopathology results confirmed the diagnosis of
a SPT. In this case report, we highlight the MRI features of a SPT and discuss how to
differentiate it from other cystic pancreatic tumors to increase the awareness of clinicians
to this rare pancreatic tumor. |
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Bibliography: | Oman Medical Journal, Vol. 30, No. 6, Nov 2015: 482-486 OMJ.jpg |
ISSN: | 1999-768X 2070-5204 |
DOI: | 10.5001/omj.2015.94 |