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Solid Pseudopapillary Neoplasm of the Pancreas with Lymph Node Metastasis in a Young Male Patient / 대한소화기학회지
The Korean Journal of Gastroenterology ; : 77-82, 2022.
Article in English | WPRIM | ID: wpr-926965
ABSTRACT
Solid pseudopapillary pancreatic neoplasms are rare. The male-to-female ratio is 19, and metastasis occurs only in a few cases. A 39-year-old male with a solid pseudopapillary neoplasm (SPN) with lymph node metastasis underwent ultrasonography, CT, and MRI, which revealed a mass (8 cm) in the pancreatic head. Fluorodeoxyglucose (FDG)-PET showed a hypermetabolic lymph node in the root area of the superior mesenteric artery (SMA). The patient underwent pylorus-preserving pancreaticoduodenectomy, which confirmed a peripancreatic lymph node metastasis. The lymph node of the SMA root area remained because of the encasing of the superior mesenteric artery. After 14 months of follow-up (with no adjuvant therapy initiated), the residual metastatic lymph nodes showed no change and no recurrence. In conclusion, surgery of the primary tumor for patients with SPN is recommended, even in cases with metastatic lymph nodes remaining.
Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: The Korean Journal of Gastroenterology Year: 2022 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Language: English Journal: The Korean Journal of Gastroenterology Year: 2022 Type: Article