Case Of the Week (COW) 03 Nov 2013
Answer:
SPEN
Findings:
Young female with well defined encapsulated solid mass lesion with central necrotic areas without any surrounding fat strandings in the tail of pancreas. S/O Solid pseudo papillary epithelial neoplasm(SPEN) HPE confirms it.
DiscussionExtremely rare account for 1-2% of exocrine pancreatic tumours. Present in young non-Caucasian females around the 2nd and 3rd decades of life. Tumours frequently contain varying amounts of necrosis, hemorrhage , and cystic change. Lesions can be large at time of diagnosis Greater predilection to occur at pancreatic tail. Usually seen as a well-encapsulated lesion with varying solid and cystic components owing to haemorrhagic degeneration. Following IV contrast administration, enhancing solid areas are typically noted peripherally, whereas cystic spaces are usually more centrally located. Calcifications and enhancing solid areas may be present at the periphery of the mass.
Answer:
SPEN
Findings:
Young female with well defined encapsulated solid mass lesion with central necrotic areas without any surrounding fat strandings in the tail of pancreas. S/O Solid pseudo papillary epithelial neoplasm(SPEN) HPE confirms it.
DiscussionExtremely rare account for 1-2% of exocrine pancreatic tumours. Present in young non-Caucasian females around the 2nd and 3rd decades of life. Tumours frequently contain varying amounts of necrosis, hemorrhage , and cystic change. Lesions can be large at time of diagnosis Greater predilection to occur at pancreatic tail. Usually seen as a well-encapsulated lesion with varying solid and cystic components owing to haemorrhagic degeneration. Following IV contrast administration, enhancing solid areas are typically noted peripherally, whereas cystic spaces are usually more centrally located. Calcifications and enhancing solid areas may be present at the periphery of the mass.