A Case Report on a Pancreatic Enigma: Metastatic Solid Pseudopapillary Neoplasm

A Case Report on a Pancreatic Enigma: Metastatic Solid Pseudopapillary Neoplasm

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Corresponding Author
Ashna S Pal
Resident, Department of GI & HPB Surgery, Aster Medcity, Kochi, Kerala, India

A B S T R A C T

Introduction: Solid pseudopapillary neoplasm is a unique enigmatic disease typically affecting young females. Being a low-grade neoplasm surgical resection is often curative. Rare cases (5-15%) present with distant metastasis. Only 2% has lymph nodal metastasis. This is a case report of metastatic SPN with both visceral and lymph nodal involvement. The work has been reported in line with the SCARE criteria. Case Presentation: The authors present a case of metastatic SPN in an 18-year-old female who came with an abdominal lump. Contrast enhanced CT abdomen findings were in favour of huge SPN arising from pancreatic tail. The prime concern was the coexistence of bilobar liver metastasis predominantly involving right lobe. The complexity of surgical resection along with metastatectomy in a young female was herculean. This clinical dilemma was tackled with staged resection. Conclusion: Even in metastatic SPN a reasonable survival can be achieved by surgical debulking. We emphasize the importance of aggressive approach in operable metastatic SPN.

Article Info

Article Type
Case Report
Publication history
Received: Fri 11, Dec 2020
Accepted: Sat 26, Dec 2020
Published: Fri 08, Jan 2021
Copyright
© 2023 Ashna S Pal. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.IJSCR.2020.04.05