Solid pseudo papillary tumor of the pancreas in a 7-year-old girl

Abstract

Solid pseudopapillary tumor (SPT) of the pancreas is a rare neoplasm, comprising less than 3% of all pancreatic tumors. SPT tumors usually occur in women between 20 and 35 years, are extremely rare in children, and have a favorable prognosis. It is necessary to differentiate STP from other pancreatic neoplasms because, unlike malignant tumors of the pancreas, including those with capsular invasion, it is amenable to cure following complete surgical resection. Here, we report a case of a 7-year-old girl who presented with right upper quadrant pain and recent history of abdominal trauma, having fallen on her abdomen two days before admission. CT confirmed pancreatic mass. MRI findings revealed solid and cystic features with hemorrhage regions, including a mixture of high- and low-signal intensity on T1-and T2-weighted images. Distal pancreatectomy was performed, and the patient's postoperative course was uneventful. The patient was not given any adjuvant therapy. There was no evidence of tumor recurrence or metastases at 3-months follow-up. SPT diagnosis was confirmed following histology findings, including characteristic dot-like patterns. This case highlights incidental detection of SPT following recent abdominal trauma in a young female child. Typical radiological appearance of SPT is an indication for surgery.

Keywords

• Frantz's tumor
• Distal pancreatectomy
• Pancreatic tumor
• Pediatric
• Solid pseudopapillary tumor