Background: Solid-pseudopapillary neoplasms of the pancreas are rare and unusual tumors, occurring mostly in young women. Their cytologicfeatures are well described in textbooks; however, published reports still show some cytologic findings overlapping with pancreatic endocrine neoplasms and demonstrate the important diagnostic role of endoscopic ultrasound-guided fine needle aspiration.
Case: A case of solid-pseudopapillary neoplasm of the pancreas occurred in a 61-year-old man; on cytology it was initially diagnosed as pancreatic endo crine neoplasm. The resection specimen in addition to immunohistochemical stains gave away the diagnosis.
Conclusion: Endoscopic ultrasound-guided fine needle aspiration remains a valid, minimally invasive procedure in pancreatic cytology. Tumor cells grouped around fibrovascular cores are the most reproducible cytologic finding in these tumors. Immunostains can play an important role when cell block material is available.
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Unraveling a Rare Case of Pediatric Solid Pseudopapillary Neoplasm With a Replaced Common Hepatic Artery Arising From the Superior Mesenteric Artery.
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View Article and Find Full Text PDFSolid-pseudopapillary neoplasm of the pancreas in a 12-year-old female: case report.
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Article Synopsis
- Solid pseudopapillary neoplasm (SPN) is a low-grade malignant tumor mostly seen in pediatric cases, where spleen preservation during surgery is critical to prevent infection, though complications like left-sided portal hypertension (LSPH) can complicate this.
- A 12-year-old girl diagnosed with SPN had symptoms like abdominal pain and anemia, and imaging revealed a mass in her pancreas along with signs of LSPH, prompting a surgery that initially aimed to preserve the spleen.
- Despite the initial surgery, the patient faced ongoing abdominal pain due to LSPH-related issues, leading to a splenectomy, which resolved her pain and showed no recurrence after eight years.
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