Solid and Pseudopapillary Tumors of the Pancreas: A Case Report and Literature Review

Case Report

Austin J Surg. 2023; 10(3): 1306.

Solid and Pseudopapillary Tumors of the Pancreas: A Case Report and Literature Review

Imade Elazzaoui1,3*; Hakim El Kaoui1,3; Marwa Sabur1,3; Mohamed Lamghari1,3; Mahmoud Dabbagh1,3; Imane Elmessaoudi1,3; Amine Maazouz1,3; Hind Hablaje1,3; Mohammed Najih1,3; Sidi Mohamed Bouchentouf1,3; Moutassir Moujahid1,3; Ahmed Bounaim1,3; Imane Tazi2,3; Amal Damiri2,3

¹Department of Visceral Surgery I, Mohamed V Military Instruction Hospital, Rabat, Morocco

²Department of Pathology, Mohamed V Military Instruction Hospital, Rabat, Morocco

³Mohammed V University, Faculty of Medicine and Pharmacy, Rabat, Morocco

*Corresponding author: Imade Elazzaoui Department of Visceral Surgery I, Mohamed V Military Instruction Hospital, Rabat, Morocco. Email: imad.elazzaoui@gmail.com

Received: May 08, 2023 Accepted: June 06, 2023 Published: June 13, 2023

Abstract

Solid and Pseudopapillary Tumors (SPT) of the pancreas are a rare entity, occurring essentially in young women, radiological examinations lead to the diagnosis while the positive diagnosis is based on immunohistological study. The primary treatment modality for SPTs condition is surgical intervention.

Our case aims to recall, when encountering a pancreatic mass in a young woman, that it is crucial for surgeons, radiologists, and pathologists to take into account the possibility of solid and pseudopapillary tumor. This is due to the favorable prognosis and unique treatment approaches associated with SPT, as opposed to other types of pancreatic tumors.

Keywords: Solid pseudopapillary tumor; Pancreas; Surgery; Left splenopancreatectomy

Introduction

Solid Pseudopapillary Tumors (SPTs) of the pancreas or Frantz tumor are rare neoplasms with low malignant potential. They represent less than 2% of pancreatic tumors [1] and occur mainly in young women, often in the second and third decade [2]. We report a new case of solid pseudopapillary tumor of the pancreas in a 39-year-old female patient.

Case Report

A female patient of 39 years old, with no medical history, is consulting for epigastric pain that radiates to the left hypochondrium, associated with vomiting, that has been progressing over several months. Abdominal examination reveals a palpable mass in the epigastric region.

Abdominal ultrasound showed a solid cystic tumor process in the tail of the pancreas measuring 9x8.4cm. Abdominal CT scan (Figure 1) shows the presence of a well-encapsulated formation with dual cystic and tissular components enhanced after injection of contrast measuring 85x86x87mm, repressing the stomach, the splenic vein and the superior mesentericvein. MRI (Figure 2) shows large solid cystic mass in the same location, isosignal in T2, hypersignal in diffusion, enhanced after gadolinium injection measuring 90x84x89mm arriving in contact with the spleen and displacing the splenic vein and the splenic artery.