Solid Pseudopapillary Neoplasia of the Pancreas: Case report

Abstract

Introduction: Solid pseudopapillary neoplasia of the pancreas is a rare pathology that occurs in young women and has an uncertain behavior. The prevalence is 1-2% and the treatment is surgical. In the present case, a 10-year-old female patient with this pathology and its corresponding management is described.

Clinical case: A 10-year-old female patient with a history of nephrectomy 6 years ago due to hydronephrosis, complains of colicky localized abdominal pain in the egigastrium and weight loss. In peritoneal imaging studies, a neoplastic solid type occupational lesion with a central area of ??probable necrosis is observed, which displaces the pancreas as well as the stomach posteriorly and is associated with peritoneal and retroperitoneal adenomegaly.

Evolution: The patient underwent a distal spleno-pancreatectomy. The anatomopathological study concluded in solid pseudopapillary neuplasia of the pancreas. He continues to be evaluated by external consultation.

Conclusion: Solid Pseudopapillary Neoplasia of the Pancreas should be suspected in patients with a solid or cystic pancreatic mass with a compatible imaging study.