Korean J Med.
2011 May;80(5):583-587.
A Solid Pseudopapillary Tumor Presenting as Hematemesis
- Affiliations
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- 1Department of Internal Medicine, Inha University College of Medicine, Incheon, Korea. LDH@inha.ac.kr
- 2Department of Pathology, Inha University College of Medicine, Incheon, Korea.
Abstract
- Solid pseudopapillary tumors are rare primary neoplasms of the pancreas that have a relatively favorable prognosis, with a low malignant potential. Most patients present with non-specific clinical features, such as vague abdominal discomfort and a palpable abdominal mass. A 50-year-old woman who presented with hematemesis had an incidental pancreatic cystic mass on abdominal computed tomography (CT). We performed several tests, including upper endoscopy and angiography, but we could not find the bleeding focus. Therefore, we performed a pancreaticoduodenectomy. At laparotomy, there was a 10-cm encapsulated pancreatic mass with duodenal invasion, which showed a bleeding ulcer. A solid pseudopapillary tumor was diagnosed pathologically. We report a solid pseudopapillary tumor that presented with gastrointestinal bleeding.
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