Solid Pseudopapillary Neoplasm of the Pancreas Presenting With Gastric Outlet Obstruction

被引:0
作者
Biswas, Jyotirmoy [1 ]
Karpha, Kankana [1 ]
Nath, Siddhartha [1 ]
Dhali, Arkadeep [2 ]
Dhali, Gopal Krishna [3 ]
机构
[1] Coll Med & Sagore Dutta Hosp, Med, Kolkata, India
[2] Inst Postgrad Med Educ & Res, Sch Digest & Liver Dis, Gastrointestinal Surg, Kolkata, India
[3] Inst Postgrad Med Educ & Res, Sch Digest & Liver Dis, Gastroenterol, Kolkata, India
关键词
outcome; surgery; small intestinal obstruction; cystic neoplasm of the pancreas; solid pseudopapillary neoplasm; TUMOR; CARCINOMA;
D O I
10.7759/cureus.24092
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Solid pseudopapillary neoplasm (SPN) of the pancreas are rare tumors accounting for a minor portion of all exocrine pancreatic tumors. It usually occurs in young women. It has a very low malignant potential with a relatively indolent clinical course. A small subset of patients exhibits pathological features of malignancy. Herein, we present a rare case of pancreatic SPN that presented with gastric outlet obstruction. Despite the characteristic computed tomography (CT) findings, due to its rarity, it was missed in more common conditions such as gastrointestinal stromal tumors. In our case, we found that the tumor was causing extrinsic duodenal compression leading to gastric outlet obstruction, creating a diagnostic dilemma.
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页数:6
相关论文
共 19 条
[1]   Solid-pseudopapillary tumors of the pancreas are genetically distinct from pancreatic ductal adenocarcinomas and almost always harbor β-catenin mutations [J].
Abraham, SC ;
Klimstra, DS ;
Wilentz, RE ;
Yeo, CJ ;
Conlon, K ;
Brennan, M ;
Cameron, JL ;
Wu, TT ;
Hruban, RH .
AMERICAN JOURNAL OF PATHOLOGY, 2002, 160 (04) :1361-1369
[2]  
Chen S, 2007, J NANJING MED U, V21, P398, DOI [10.1016/S1007-4376(07)60087-2, DOI 10.1016/S1007-4376(07)60087-2]
[3]  
Choi Jin-Young, 2006, AJR Am J Roentgenol, V187, pW178, DOI 10.2214/AJR.05.0569
[4]   Pseudopapillary Tumor of the Pancreas: A Rare Cause of Extrahepatic Portal Hypertension [J].
Dhali, Arkadeep ;
Pasangha, Elaina ;
D'Souza, Christopher ;
Hazra, Anirban ;
Dhali, Gopal Krishna .
CUREUS JOURNAL OF MEDICAL SCIENCE, 2021, 13 (06)
[5]   Solid-pseudopapillary tumor of the pancreatic tail [J].
Eder, Frank ;
Schulz, Hans-Ulrich ;
Roecken, Christoph ;
Lippert, Hans .
WORLD JOURNAL OF GASTROENTEROLOGY, 2005, 11 (26) :4117-4119
[6]  
Frantz V., 1959, Tumors of the Pancreas, V36, P32, DOI 10.1002/bjs.18004720344
[7]  
Hamilton S., 2000, Pathology and genetics of tumours of the digestive system
[8]  
HAMOUDI AB, 1970, CANCER, V26, P1126, DOI 10.1002/1097-0142(197011)26:5<1126::AID-CNCR2820260524>3.0.CO
[9]  
2-K
[10]   Solid pseudopapillary tumor of the pancreas suggesting malignant potential [J].
Kang, Chang Moo ;
Kim, Kyung Sik ;
Choi, Jin Sub ;
Kim, Hoguen ;
Lee, Woo Jung ;
Kim, Byong Ro .
PANCREAS, 2006, 32 (03) :276-280