Download PDF
CC BY 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2024; 07(03): 231-235
DOI: 10.1055/s-0044-1786981
Case-in-Discussion (Radiology with Pathological and Surgical Correlation)

Childhood Solid Pseudopapillary Neoplasm of the Pancreas: Acute Presentation of an Uncommon Tumor

Y. Vikhyath Shetty
1   Diagnostic and Interventional Radiology, Manipal Hospital, Yeshwanthpur, Karnataka, India
,
Rajesh Venkatesh Helavar
1   Diagnostic and Interventional Radiology, Manipal Hospital, Yeshwanthpur, Karnataka, India
,
Madhukumar S. B.
1   Diagnostic and Interventional Radiology, Manipal Hospital, Yeshwanthpur, Karnataka, India
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Solid pseudopapillary tumor is a mixed solid and cystic neoplasm of the pancreas which occurs most commonly in females in second or third decade of life with few reported pediatric cases. It has a low malignancy potential with good prognosis after surgical resection.

We present a case of an 11-year-old male child with solid pseudopapillary tumor of pancreas who presented with clinical features of acute pancreatitis. He was initially evaluated with ultrasound, followed by computed tomography (CT) and magnetic resonance imaging (MRI).

Solid pseudopapillary tumor of pancreas presenting as acute pancreatitis is rarely reported in literature. This case is a unique presentation of a pancreatic tumor and highlights the value of multiphase CT imaging and MRI in the diagnosis.

Keywords

pancreatitis - pediatric - solid pseudopapillary neoplasm of the pancreas


Publication History

Article published online:
15 May 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Franz V. Papillary tumors of the pancreas: benign or malignant?. In: Frantz VK. ed. Atlas of Tumor Pathology. Washington, DC: U.S. Armed Forces Institute of Pathology; 1959: 32-33
    Google Scholar
  • 2 Papavramidis T, Papavramidis S. Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in English literature. J Am Coll Surg 2005; 200 (06) 965-972
    CrossrefPubMedGoogle Scholar
  • 3 Ahmed TS, Chavhan GB, Navarro OM, Traubici J. Imaging features of pancreatic tumors in children: 13-year experience at a pediatric tertiary hospital. Pediatr Radiol 2013; 43 (11) 1435-1443
    CrossrefPubMedGoogle Scholar
  • 4 Rojas Y, Warneke CL, Dhamne CA. et al. Primary malignant pancreatic neoplasms in children and adolescents: a 20 year experience. J Pediatr Surg 2012; 47 (12) 2199-2204
    CrossrefPubMedGoogle Scholar
  • 5 Soloni P, Cecchetto G, Dall'igna P, Carli M, Toffolutti T, Bisogno G. Management of unresectable solid papillary cystic tumor of the pancreas. A case report and literature review. J Pediatr Surg 2010; 45 (05) e1-e6
    CrossrefPubMedGoogle Scholar
  • 6 Cantisani V, Mortele KJ, Levy A. et al. MR imaging features of solid pseudopapillary tumor of the pancreas in adult and pediatric patients. AJR Am J Roentgenol 2003; 181 (02) 395-401
    CrossrefPubMedGoogle Scholar
  • 7 Jaksic T, Yaman M, Thorner P, Wesson DK, Filler RM, Shandling B. A 20-year review of pediatric pancreatic tumors. J Pediatr Surg 1992; 27 (10) 1315-1317
    CrossrefPubMedGoogle Scholar
  • 8 Buetow PC, Buck JL, Pantongrag-Brown L, Beck KG, Ros PR, Adair CF. Solid and papillary epithelial neoplasm of the pancreas: imaging-pathologic correlation on 56 cases. Radiology 1996; 199 (03) 707-711
    CrossrefPubMedGoogle Scholar
  • 9 Yu PF, Hu ZH, Wang XB. et al. Solid pseudopapillary tumor of the pancreas: a review of 553 cases in Chinese literature. World J Gastroenterol 2010; 16 (10) 1209-1214
    CrossrefPubMedGoogle Scholar
  • 10 Al-Qahtani S, Gudinchet F, Laswed T. et al. Solid pseudopapillary tumor of the pancreas in children: typical radiological findings and pathological correlation. Clin Imaging 2010; 34 (02) 152-156
    CrossrefPubMedGoogle Scholar
  • 11 Chung EM, Travis MD, Conran RM. Pancreatic tumors in children: radiologic-pathologic correlation. Radiographics 2006; 26 (04) 1211-1238
    CrossrefPubMedGoogle Scholar
  • 12 Moholkar S, Sebire NJ, Roebuck DJ. Solid-pseudopapillary neoplasm of the pancreas: radiological-pathological correlation. Pediatr Radiol 2005; 35 (08) 819-822
    CrossrefPubMedGoogle Scholar
  • 13 Ganeshan DM, Paulson E, Tamm EP, Taggart MW, Balachandran A, Bhosale P. Solid pseudo-papillary tumors of the pancreas: current update. Abdom Imaging 2013; 38 (06) 1373-1382
    CrossrefPubMedGoogle Scholar
  • 14 Lee JH, Yu J-S, Kim H. et al. Solid pseudopapillary carcinoma of the pancreas: differentiation from benign solid pseudopapillary tumour using CT and MRI. Clin Radiol 2008; 63 (09) 1006-1014
    CrossrefPubMedGoogle Scholar