Solid pseudopapillary neoplasm of pancreas in a 12-year-old girl

Solid pseudopapillary neoplasm of pancreas in a 12-year-old girl

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A-12-year old girl presented with acute exacerbation of mild upper abdominal pain and nausea associated with weight loss.Subsequent work up revealed raised serum lipase and a bulky (7.8 cm x LED Filament Candles 4.9 cm x 2 cm) mass involving the head of the pancreas with areas of necrosis and cystic degeneration and peripheral rim enhancement, without any calcification.MPD was dilated SU/CREAM (6mm).

The cyst fluid had normal amylase, CA 19-9 level, CEA levels, and cytology revealed atypical epithelial cells.Patient underwent an uneventful pancreaticoduodenectomy.Subsequent histopathology revealed solid pseudopapillary tumor of the pancreas of low-grade malignancy.