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:
http://casereports.bmj.com/content/2016/bcr-2016-218403.full
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