Solid pseudopapillary tumor of head and body of pancreas with pure solid component – A case report with diagnostic dilemma

Abstract

Solid pseudopapillary tumor (SPT) is a rare neoplasm of the pancreas with malignant potential, predominantly affecting young females. It usually consists of mixed solid and cystic components, and the presence of pure solid component is rarer. It may be locally aggressive, and surgical resection is the treatment of choice with an excellent prognosis. We report a case of SPT of head and body of the pancreas with pure solid component in a 21-year-old female. The patient presented with a chief complaint of severe abdominal pain and vomiting with a palpable mass for 2 years without any past history of abdominal trauma. Contrast-enhanced computed tomography scan showed a well-defined, homogeneously enhancing solid tumor arising from the head and body of the pancreas. With these findings, both benign and low-grade malignant neoplasm of pancreas could be the possible differential diagnoses. Pancreaticoduodenectomy was performed, and the patient was under regular follow-up for the last 28 months without any evidence of the disease.