Background: The solid-pseudopapillary tumor (SPT) of the pancreas is a rare type of exocrine pancreatic neoplasm. SPT predominantly affects young women and female children, and is usually discovered incidentally. This tumor is generally benign with a low incidence of malignancy. Case Report: A 13-year-old girl was admitted to the hospital with a few weeks' history of mild abdominal pain and jaundice. On physical examination, there was no palpable mass. The laboratory tests showed increased SR, CRP, high bilirubin, amylase and lipase serum levels. Ultrasound imaging revealed a solid lesion in the region of the pancreatic head. On MRI, precise tumor localization in the head of the pancreas with pancreatic duct dilatation and compression of the common bile duct were visualized. Pancreaticoduodenectomy and cholecystectomy was performed with good clinical outcome. Microscopic and immunhistochemical studies indicated that tumor cells were typical of SPT without any signs of malignancy. After surgical treatment, the patient in good condition was discharged from the hospital. Conclusions: Magnetic resonance imaging is an excellent and safe modality for detection and characterization of SPT.
keywords in English:
solid- pseudopapillary tumor (SPT)of the pancreas, MRI, Whipple procedure
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