Solid pseudo papillary tumor of the pancreas: An unusual tumor in children
An 11-year-old female child, otherwise in good overall health, presented with pain and heaviness in the left side of abdomen for 5 months. She also had fatigue, nausea, and occasional vomiting which was not related to food. There was no weight loss, jaundice, diarrhea, or flushing. The examination revealed a large retroperitoneal lump extending from epigastrium to the left flank. An ultrasonography (USG) of the abdomen showed a 13×13 cm heterogeneous, hyperechoic retroperitoneal mass, displacing the major vessels. Contrast-enhanced Computerized tomography (CECT) scan revealed a well-defined heterogeneous mass arising from the retroperitoneum in the left upper quadrant of the abdomen possibly from the tail of the pancreas []. Magnetic resonance imaging (MRI) of the abdomen confirmed pancreatic tail neoplasm with solid and cystic lesions in T1-weighted imaging. Tumor markers like Alpha-fetoprotein (AFP), Beta-HCG, CA19-9 and Carcinoembryonic antigen (CEA) were within normal limits. An USG guided biopsy of the mass showed pseudo papillary tumor of the pancreas. Complete excision of this mass was done safeguarding splenic and renal vessels with closure of the pancreatic duct. The histopathology revealed the tumor to be an SPT of the pancreas []. The patient is on regular follow-up and well with no recurrence till 6 months of follow-up.