-Case Reports-

A 13-year-old girl with a Preoperatively Diagnosed Solid Cystic Tumor of the Pancreas

Takeshi Asano¹, Tomoko Seya², Noritake Tanaka², Yoshiharu Ooaki³ and Osamu Fujino¹

¹Department of Pediatrics, Chiba-Hokusoh Hospital, Nippon Medical School
²Department of Surgery, Chiba-Hokusoh Hospital, Nippon Medical School
³Division of Surgical Pathology, Chiba-Hokusoh Hospital, Nippon Medical School

We report on a 13-year-old girl with a solid cystic tumor of the pancreas. She was referred to our hospital with abdominal pain in the left upper quadrant. Physical examination revealed a firm mass in the abdomen. Ultrasonography showed a clearly demarcated round mass with a mixture of solid and cystic components. Computed tomography confirmed that the mass measured 5 × 5 cm with low density in the cystic region and soft-tissue density in the solid region. Magnetic resonance also showed a clearly demarcated mass with a solid portion of low intensity on T1-weighted images and high intensity on T2-weighted images. We diagnosed a solid and cystic tumor of the pancreas and subsequently performed distal pancreatectomy. A firm, well-encapsulated tumor was found in the pancreas tail. The cut surface of the tumor consisted of a solid area with hemorrhage and a cystic area. Light microscopy of the tumor confirmed small neoplastic cells. Pathological diagnosis was solid pseudopapillary tumor (solid cystic tumor) of the pancreas. Surgery was successful, and the postoperative course was uneventful.

J Nippon Med Sch 2006; 73: 231-234

Keywords
solid and cystic tumor, pancreas

Correspondence to
Takeshi Asano, MD, Department of Pediatrics, Chiba-Hokusoh Hospital, Nippon Medical School, 1715 Kamakari, Inba-mura, Inba-gun, Chiba 270-1694, Japan
VFF13540@nifty.ne.jp

Received, April 3, 2006.
Accepted, May 16, 2006.