IMPORTANT: We currently have a number of bugs related to image cropping and are actively trying to resolve them. In the meantime, we have disabled cropping. Apologies for any inconvenience. Stay informed: radiopaedia.org/chat

Solid pseudopapillary tumor of the pancreas

Case contributed by Jeremy Frank
Diagnosis probable

Presentation

Weight loss. Early satiety. Bloating.

Patient Data

Age: 25
Gender: Female

Large well-defined encapsulated heterogeneous mass in pancreatic body/tail. Calcifications. Cystic/necrotic. Peripheral and septal enhancement. Vascular and visceral displacement. No metastases.

2 years post distal pancreatectomy surveillance. No recurrence. Patient well.

Case Discussion

  • rare primary pancreatic tumor, usually benign, typically in young women, and most commonly in body/tail
  • bulky encapsulated heterogenous solid and cystic/necrotic mass, with calcification and hemorrhage
  • low malignant potential, usually to liver
  • heterogeneous high T1 and high T2 signal on MRI, due to hemorrhage and cysts; fluid levels
  • distinguished from serous microcystic cystadenoma by lack of a central scar, location, and patient demographics
  • post distal pancreatectomy surveillance - surgical excision is usually curative

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.