title: Solid pseudopapillary neoplasm of the pancreas.
abstract: Solid pseudopapillary neoplasms (SPNs) are rare entities accounting for between 0.13 and 2.7 per cent of pancreatic tumours. This neoplasm has a predilection for females under the age of 35. The authors report this case of a SPN incidentally discovered when a 59-year-old female underwent a chest x-ray to investigate a wheeze. A subsequent CT abdomen revealed a 10 cm well-circumscribed mass adjacent to the tail of the pancreas. This mass was successfully resected. Immunohistochemical markers established the diagnosis of a SPN. The wheeze associated with the presentation of this case was unrelated to the tumour which was an incidental finding. These neoplasms are largely asymptomatic and indolent reaching a large size before detection. Diagnosis is confirmed on histology and in this case surgical resection was curative and there was no metastasis at presentation.
authors.affiliation: Department of Emergency Medicine, Mater Misericordiae University Hospital, Dublin, Ireland. donnacummins@gmail.com
authors.forename: Donna
authors.initials: D
authors.lastname: Cummins
authors.forename: Margaret
authors.initials: M
authors.lastname: Sheehan
authors.forename: John
authors.initials: J
authors.lastname: Bruzzi
authors.forename: Oliver
authors.initials: O
authors.lastname: McAnena
mesh_terms: D002291:Carcinoma, Papillary / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D011859:Radiography