Solid pseudopapillary tumor, F/14, incidental found mass on APCT

Female / 14, Abdominal pain with diarrhea (2DA)

Differential diagnosis should include solid pseudopapillary tumor(SPT), pancreatoblastoma, islet cell tumor (insulinoma)

Firstly, pancreatoblastoma is frequently occured in boys less than 10 year-old

and insulinoma is usually found in head of pancreas and shows vivid enhancement than normal pancreas parenchyma

solid pseudopapillary tumor is more likely occurs in older children or adolescents

so, the most probable diagnosis is SPT

After 1 month, Laparoscopic distal pancreatectomy with splenectomy was done

the pathologic diagnosis revealed solid pseudopapillary neoplasm

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