Singh Anshu, Mohan Gyanendra, Chaturvedi Sunanda, Sarangi Lalatendu
Department of Pathology, Indian Railway Cancer Research Institute (CRI), Varanasi, Uttar Pradesh, India.
Department of Surgical Oncology, Indian Railway Cancer Research Institute (CRI), Varanasi, Uttar Pradesh, India.
J Cytol. 2016 Oct-Dec;33(4):229-232. doi: 10.4103/0970-9371.190443.
Solid pseudopapillary tumor (SPT) is a rare pancreatic neoplasm with a reported incidence of 0.1% to 2.7% of all pancreatic tumors. Because radiological presentation of pancreatic tumors is quite overlapping, distinctive features in fine needle aspiration cytology (FNAC) helps in its diagnosis preoperatively. Being a low-grade malignancy presenting predominantly in young females, correct preoperative diagnosis minimizes the need of extensive surgery. SPT carries good prognosis without any adjuvant chemotherapy/radiotherapy in most cases, even in the presence of metastatic disease. On the other hand, aggressive surgical resection is required for ductal adenocarcinoma which is more common pancreatic tumor (90%). We report here a case of a 49-year-old female diagnosed as SPT. The importance of the need for the radiologist, pathologist, and surgeon to be familiar with SPT is highlighted so that it is more often diagnosed as there are significant therapeutic and prognostic implications.
实性假乳头状肿瘤（SPT）是一种罕见的胰腺肿瘤，据报道其发病率占所有胰腺肿瘤的0.1%至2.7%。由于胰腺肿瘤的影像学表现有很大重叠，细针穿刺细胞学检查（FNAC）中的独特特征有助于术前诊断。作为一种主要发生在年轻女性的低级别恶性肿瘤，正确的术前诊断可减少广泛手术的必要性。在大多数情况下，即使存在转移性疾病，SPT的预后也较好，无需任何辅助化疗/放疗。另一方面，对于更常见的胰腺肿瘤（90%）——导管腺癌，则需要进行积极的手术切除。我们在此报告一例49岁女性被诊断为SPT的病例。强调了放射科医生、病理科医生和外科医生熟悉SPT的必要性，以便更频繁地诊断出该疾病，因为这具有重要的治疗和预后意义。
