Solid Pseudopapillary Neoplasms Are Rare, Indolent Pancreatic Tumors in Young Women

Abstract EN

Introduction.

Solid pseudopapillary neoplasm (SPN) is a rare and indolent pancreatic tumor with low malignant potential which frequently occurs in reproductive-age females.

Complete resection is almost always the curative option.

Case Presentation.

We present a 20-year-old woman with acute epigastric pain and vomiting in multiple episodes.

Abdominal ultrasound showed a hypoechoic lesion with the probable source in the pancreas.

Following that, CT scans and Endoscopic Ultrasound (EUS) manifested a 9×7.5 cm-sized hypodense mass with heterogeneous well-defined margins in the pancreas suggesting the diagnosis of SPN.

Whipple’s procedure was performed.

Histopathological examination and immunohistochemistry confirmed SPN without evidence of malignancy.

Discussion.

SPN is known as a tumor with a favorable prognosis and a long survival rate after complete resection.

However, some literature focused on minimally invasive surgery as an alternative surgical approach.