Solid Pseudopapillary Tumour of pancreas in pregnancy
Abstract
Solid-pseudopapillary neoplasms (SPNs) of the exocrine pancreas are rare, accounting for only 2% of pancreatic tumours. These tumours predominantly affect females during the second and third decades of life. Of uncertain histogenesis, it has a low-grade malignant potential with excellent post-surgical curative rates and rare metastasis. Despite advances in imaging, pseudocysts and other cystic neoplasms feature in the differential diagnosis. Pathological and/or cytological evaluation remains the gold standard in reaching a definitive diagnosis. We report a case of asymptomatic SPN in 22-year-old woman diagnosed at 16 weeks of gestation on routine prenatal ultrasound. Pylorus preserving Whiple’s pancreaticoduodenectomy was performed following medical termination of pregnancy.