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Pancreas

Spen

  • "A focal lobulated margin and a focal discontinuity of the capsule may suggest a malignant SPN, whereas a round or smoothly lobulated margin and a complete encapsulation were more commonly seen in benign SPN."

    Differentiation of Benign and Malignant Solid Pseudopapillary Neoplasms of the Pancreas
    Chung YE et al.
    J Comput Assist Tomogr 2009; 33: 689-694
  • Solid Pseudopapillary Neoplasm of the Pancreas: Facts
    - Up to 30% contain calcification
    - Occassionally these lesions can spontaneously bleed
    - Pancreatic duct obstruction or common bile duct obstruction is rare
  • Solid Pseudopapillary Neoplasm of the Pancreas: Facts
    - 1-2% of exocrine pancreatic tumors
    - Woman common especially young women
    - 5 year survival up to 95-100%
    - 15-20% of cases develop metastases with liver most common site of metastases
  • Solid and Papillary Epithelial Neoplasm: CT Findings

    - Mixed cystic and solid mass
    - Lesion may have increased vascularity
    - Calcifications do occur but are uncommon
  • Solid and Papillary Epithelial Neoplasm: Facts

    - 1% of pancreatic masses
    - More common in woman
    - Age range is 15-35 with a mean of 24 yrs of age
    - Low grade malignancy
    - More common in the tail of the pancreas
  • Hamoudi tumor (solid papillary epithelial neoplasm): facts

    - Most common in young woman with mean age of 24 yrs
    - May contain calcification
    - Cysts components may be thick walled on CT