Singh Ashish, Agarwal Akshay Anand, Sonkar Abhinav Arun, Kushwaha Jitendra Kumar
Department of Surgery, King George Medical University, Lucknow, Uttar Pradesh, India.
BMJ Case Rep. 2014 Apr 17;2014:bcr2013200747. doi: 10.1136/bcr-2013-200747.
Solid pseudopapillary tumour of the pancreas is a rare neoplasm (1%). This tumour primarily affects young women and is usually treated with surgical resection with a relatively favourable prognosis. We report an 18-year-old female patient presenting with moderate grade abdominal pain for 5 weeks. Abdominal examination revealed a lump palpable in the right upper abdomen. Contrast-enhanced CT abdomen reported soft tissue lesion arising from uncinate process of pancreas causing adjacent compression. Endoscopic ultrasound-guided fine-needle aspiration biopsy yielded a cellular sample comprising pseudopapillary arrangement with bland appearing tumour cells consistent with benign neoplasm. And because of unusual location, Whipple procedure was performed. The patient was discharged under satisfactory conditions. Final histology confirmed the diagnosis. Solid pseudopapillary tumours of the pancreas are a rare but treatable pancreatic tumour. Complete surgical excision is the treatment of choice and can be achieved through an open or minimal access technique.
胰腺实性假乳头状瘤是一种罕见的肿瘤（占1%）。这种肿瘤主要影响年轻女性，通常采用手术切除治疗，预后相对良好。我们报告一名18岁女性患者，出现中度腹痛5周。腹部检查发现右上腹可触及肿块。腹部增强CT报告显示胰腺钩突部出现软组织病变，导致邻近组织受压。内镜超声引导下细针穿刺活检获取了一个细胞样本，其中肿瘤细胞呈假乳头状排列，外观温和，符合良性肿瘤。由于肿瘤位置特殊，遂进行了惠普尔手术。患者在情况良好的状态下出院。最终组织学检查确诊。胰腺实性假乳头状瘤是一种罕见但可治疗的胰腺肿瘤。完整的手术切除是首选治疗方法，可通过开放手术或微创技术实现。
