Giant solid pseudopapillary neoplasm of the pancreas in an adolescent girl: a case report with narrative review - Takeaways - MDSpire

Giant solid pseudopapillary neoplasm of the pancreas in an adolescent girl: a case report with narrative review

  • By

  • Hang Zhou

  • Jinqin Zha

  • Yu Yang

  • Yiwei Hou

  • Chongyuan Chen

  • Mingzheng Hu

  • Rongchun Xing

  • July 15, 2026

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  • 1

    Solid pseudopapillary neoplasm (SPN) is a rare pancreatic tumor with low malignant potential, predominantly affecting adolescent girls and young women.

  • 2

    A 15-year-old girl presented with acute abdominal pain and imaging revealed a giant mixed solid-cystic mass in the pancreatic body and tail.

  • 3

    The patient underwent laparoscopic distal pancreatectomy with splenectomy, and histopathology confirmed SPN with negative margins and no nodal metastasis.

  • 4

    Immunohistochemistry showed positivity for beta-catenin and CD10, supporting the diagnosis of solid pseudopapillary neoplasm.

  • 5

    Postoperative follow-up indicated an uneventful recovery with no evidence of recurrence, emphasizing the importance of surgical strategy in giant SPN.

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