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Arch Surg. 2006;141:832.

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Answer: Solid Pseudopapillary Carcinoma of Pancreas With Liver Metastasis

Histological examination of the pancreatic and liver lesions confirmed the diagnosis of solid pseudopapillary carcinoma. The resection margins of the pancreas and the liver were clear of tumor. The patient recovered well from the operation and there was no evidence of recurrence 6 months afterward. No adjuvant therapy was given.

Solid pseudopapillary tumor (SPT) of the pancreas was first described by Frantz¹ in 1959. Since then, only about 450 cases of SPT of the pancreas have been reported.² Various other names such as papillary cystic and solid tumor of pancreas and papillary cystic neoplasm of pancreas have been used to describe this rare tumor, and it was classified as solid pseudopapillary tumor of the pancreas by the World Health Organization in 1996.²

The most important clue to the diagnosis of SPT is a large pancreatic tumor occurring in a young female. The female-male ratio is 9:1. About 15% of SPTs . . . [Full Text of this Article]

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