1 - Serviço de Radiologia, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa;
- Publicação como “Clinical Case” - Eurorad
Case report: A previously healthy 14-year-old female patient presented to our institution with a 2-month history of mild abdominal pain. She denied significant weight loss. Physical examination and laboratory test results were unremarkable. Abdominal ultrasound revealed a 4-cm mass in the head of the pancreas. Subsequent magnetic resonance (MR) imaging revealed a solid and well-circumscribed mass, homogeneously hypointense on T1-weighted images and moderately hyperintense on T2-weighted images. Histologic assessment after cephalic duodenopancreatectomy confirmed the diagnosis of solid pseudopapillary neoplasm of the pancreas.
Conclusions: Masses and mass-like lesions of the pancreas are uncommon in the paediatric population and differentiating them can be challenging due to their similar clinical and imaging presentation [2]. Age, gender and history of an underlying cancer predisposition syndrome can be helpful when formulating a differential diagnosis for a paediatric pancreatic mass. Although rare in the paediatric population, SPN is the most common pancreatic tumour in older girls who do not have a cancer-predisposing syndrome.
Palavras Chave: Neoplasm, Paediatric, Pancreas, Pseudopapillary, Solid