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Solid pseudopapillary neoplasm of pancreas in a 12-year-old girl

1 Department of Surgery, I.P.G.M.E and R/S.S.K.M Hospital, Kolkata, West Bengal, India
2 Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Prosanta Kumar Bhattacharjee,
Flat No 5, 4th Floor, “Suryatoran Apartment,” 114/A, Barasat Road, Kolkata - 700 110, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_46_19

A-12-year old girl presented with acute exacerbation of mild upper abdominal pain and nausea associated with weight loss. Subsequent work up revealed raised serum lipase and a bulky (7.8 cm x 4.9 cm x 2 cm) mass involving the head of the pancreas with areas of necrosis and cystic degeneration and peripheral rim enhancement, without any calcification. MPD was dilated (6mm). The cyst fluid had normal amylase, CA 19-9 level, CEA levels, and cytology revealed atypical epithelial cells. Patient underwent an uneventful pancreaticoduodenectomy. Subsequent histopathology revealed solid pseudopapillary tumor of the pancreas of low-grade malignancy.


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