Solid-pseudopapillary tumor of pancreas in a young woman: a case report and literature review.
Solid-pseudopapillary tumor of pancreas is a rare neoplasm which occurs pre-dominantely in young females. This tumor generally is asymptomatic or minimally symptomatic and some imaging tests are useful for its diagnosis. We report a 17 years-old woman with dyspeptic symptoms submitted to an abdominal ultrasound (US), that revealed a hypoechogenic mass between the liver, right kidney and pancreas. Computer tomography (CT) scan showed a hypodense and heterogeneous mass on pancreas head. The patient underwent elective resection of the mass and the histopathology was consistent with a solid-pseudopapillary tumor of pancreas. Immunohistochemical positivity for NSE (neuron-specific enolase), progesterone receptor, alfa-1-antitrypsin, vimentin, AE1/AE3, and negativity for synaptophysin and chromogranin A confirmed the diagnosis. After four years of clinical follow-up, the patient remains in a good general condition without signs of tumor recurrence.
Department of Medicine, University Hospital, Federal University of Sergipe, Aracaju, SE, Brazil. sonia.sol@ibest.com.br
Sonia
S
Oliveira Lima
Vanessa
V
Rocha Santana
Sydney
S
Correia Leao
Paulo Sérgio
PS
Faro Santos
Ricardo Luis Cavalcanti
RL
De Alburquerque
D000293:Adolescent; D002291:Carcinoma, Papillary / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery