J Korean Surg Soc.  2011 Dec;81(Suppl 1):S55-S58. 10.4174/jkss.2011.81.Suppl1.S55.

Solid pseudopapillary tumor with hepatic metastasis

Affiliations
  • 1Department of Surgery, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Suwon, Korea. wonys@catholic.ac.kr
  • 2Department of Internal Medicine, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Suwon, Korea.
  • 3Department of Pathology, St. Vincent's Hospital, The Catholic University of Korea School of Medicine, Suwon, Korea.

Abstract

Solid pseudopapillary tumor of the pancreas is a rare tumor that affects young females with low malignant potential and good prognosis with more than 90% survival at 5 years. Metastasis is very rare. We report the case of a 74-year-old female who had pancreatic solid-pseudopapillary tumor and synchronous hepatic metastasis.

Keyword

Solid pseudopapillary tumor; Pancreas neoplasms; Hepatic metastasis

MeSH Terms

Aged
Female
Humans
Neoplasm Metastasis
Pancreas
Pancreatic Neoplasms
Prognosis

Figure

  • Fig. 1 Computed tomography scan of abdomen. There was large abscess cavity showing partially septated cystic lesion with peripheral inflammatory hyperemia in right hepatic lobe (A). There was a 5 × 6.2 cm, well-defined mass with heterogeneous contrast enhancement in hepatic segment S3 (B) and a lobulated, 5 × 3.2 cm, heterogeneous pancreatic mass containing several intratumoral calcifications (arrow) and cystic change (arrow head) around pancreatic tail (C). The hepatic abscess was completely resolved 2 months after antibiotic treatment for hepatic abscess (D).

  • Fig. 2 On operation field, there was hepatic mass in lower portion of left lateral segment of liver (S3) and resection plane was marked on surface of liver (A). Microscopic findings of the left lobe of the liver and the pancreas. Low-power micrograph showing normal liver tissue (L) and tumor tissue (T in B), normal pancreas (P) and tumor tissue (T in D). Monomorphic polyhedral cells with hyalinzed fibrovascular stalks (arrow) were noted in hepatic tumor (C) and pancreatic tumor (E).


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