title: Liver metastasis four years after Whipple's resection for solid-pseudopapillary tumor of the pancreas.
abstract: BACKGROUND
  Solid-pseudopapillary tumor of the pancreas is a rare tumor which usually affects young females in their second and third decade of life. Metastasis is very rare after a resection of curative intent.
  
  
  METHODS
  We report a case of a 65-year-old white female who presented with metastasis to the liver four years after Whipple's resection for a solid-pseudopapillary tumor of the pancreas.
  
  
  CONCLUSIONS
  Solid-pseudopapillary tumors of the pancreas can present with metastasis a long time after resection of the primary tumor. Long term close follow up of these patients should be done. The survival rate even after liver metastasis is good.
authors.affiliation: Department of Gastroenterology, Brooklyn Hospital Center, Brooklyn, NY 11201, USA. krishna1973@yahoo.com
authors.forename: Srikrishna
authors.initials: S
authors.lastname: Nagri
authors.forename: Afaf
authors.initials: A
authors.lastname: Abdu
authors.forename: Sury
authors.initials: S
authors.lastname: Anand
authors.forename: Mahesh
authors.initials: M
authors.lastname: Krishnaiah
authors.forename: Vijay
authors.initials: V
authors.lastname: Arya
mesh_terms: D000368:Aged; D002291:Carcinoma, Papillary / Q000000981:diagnostic imaging / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery; D016577:Pancreaticoduodenectomy; D013997:Time Factors; D014057:Tomography, X-Ray Computed