AI Article Synopsis
- Solid and papillary neoplasm of the pancreas (SPNP) is a rare tumor primarily affecting young women, characterized by its large size and favorable prognosis.
- A case study is presented involving a 34-year-old woman who was misdiagnosed with ductal carcinoma but, upon surgery for a 15 cm pancreatic tumor, was confirmed to have SPNP.
- The study emphasizes that even in older women, SPNP should be considered when a large abdominal mass is found, as surgical resection is the best treatment due to the tumor's low malignancy potential and excellent prognosis.
Article Abstract
Background: Solid and papillary neoplasm of the pancreas (SPNP) is a rare pancreatic tumor, well known for its predilection for young women and large volume. The tumor has a favorable prognosis and differentiating it from other pancreatic tumors with aggressive behavior is necessary.
Case Description: We present the case of a 34-year-old female without relevant background. She presented with abdominal pain and by fine needle biopsy was diagnosed as ductal carcinoma. During the evaluation, an abdominal ultrasound revealed a pancreatic growth that was "". The patient was admitted, and surgery was performed. At the laparotomy, a tumor of 15 cm in diameter was detected. The tumor was located in the tail of the pancreas, was well encapsulated, and of solid consistency. Caudal pancreatectomy with a splenectomy was carried out. The final pathology diagnosis was a SPNP.
Conclusions: In the presence of a large abdominal mass of pancreatic relevance, even in older women, the possibility of having an SPNP should always be evaluated. Given the low malignancy potential of this tumor and the excellent prognosis with radical surgical treatment, the preoperative diagnosis should always be particularly accurate. Surgical resection is recommended as the treatment of choice.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634458 | PMC |
| http://dx.doi.org/10.21037/acr-22-30 | DOI Listing |
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