15 yo girl with epigastric pain.
Ultrasound detected one 7cm mass, solid and cystic mixed echo at tail of pancreas (US 1,2).
MSCT with CE of this mass represented round mass at the tail of pancreas, CE low enhanced ( CT1, CT2).
MRI with gado (MRI 1, MRI 2, MRI 3, frontal view).
Radiologist reported that solid tumor of pancreas in suspecting of malignancy.
Blood tests: CA19-9 is low level, and other cancer markers are normal.
Operation (foto) This round border mass pulled stomach and no evidence of spreading intra abdomen cavity.
Frozen section the mass and microscopic report is SPEN (solidary pseudo papillary epithelial neoplasia of pancreas).
Conclusion: SPEN of pancreas.REFERENCE: