A Large Solid Pseudopapillary Tumour of the Body and Tail of Pancreas: A Rare Entity Treated with Combined Modality

Abstract

Solid Pseudopapillary Tumour (SPPT) of the pancreas are rare tumours, accounting for only 1-2% of all pancreatic neoplasms. Increased rate of detection of this neoplasm in the last three decades is probably due to the increased awareness and the increased provision of imaging. Though surgery is the mainstay of its treatment, single agent chemotherapy with Inj. Gemcitabine is considered to be of choice for the adjuvant therapy in case of large tumours with high risk features. We report here a case of a huge Solid Pseudopapillary Tumour (SPPT) of the Body and Tail of Pancreas [Stage pT2N0M0] in a 23 year old lady presenting with vague pain abdomen and vomiting. At first, it was suspected by Magnetic Resonance Cholangio-Pancreatography (MRCP) and finally it was diagnosed by histopathological examination of specimen obtained by surgery. Patient is now being treated with single agent adjuvant chemotherapy (Gemcitabine) and is completely asymptomatic.