TY - JOUR
AR - IJSCR-2020-4-105
TI - A Case Report on a Pancreatic Enigma: Metastatic Solid Pseudopapillary Neoplasm
AU - Ashna S, Pal
AU - Fadl H , Veerankutty
AU - Sidharth , Chacko
AU - Vipin , IS
AU - Kamalesh , NP
AU - Prakash , Kurumboor
JO - International Journal of Surgical Case Reports
PY - 2020
DA - Fri 08, Jan 2021
SN - 2674-4171
DO - http://dx.doi.org/10.31487/j.IJSCR.2020.04.05
UR - https://www.sciencerepository.org/a-case-report-on-a-pancreatic-enigma-metastatic-solid_IJSCR-2020-4-105 
KW -  Solid pseudopapillary neoplasm, case report, pancreas, liver metastasis
AB - Introduction: Solid pseudopapillary neoplasm is a unique enigmatic disease typically affecting young
females. Being a low-grade neoplasm surgical resection is often curative. Rare cases (5-15%) present with
distant metastasis. Only 2% has lymph nodal metastasis. This is a case report of metastatic SPN with both
visceral and lymph nodal involvement. The work has been reported in line with the SCARE criteria.
Case Presentation: The authors present a case of metastatic SPN in an 18-year-old female who came with
an abdominal lump. Contrast enhanced CT abdomen findings were in favour of huge SPN arising from
pancreatic tail. The prime concern was the coexistence of bilobar liver metastasis predominantly involving
right lobe. The complexity of surgical resection along with metastatectomy in a young female was
herculean. This clinical dilemma was tackled with staged resection.
Conclusion: Even in metastatic SPN a reasonable survival can be achieved by surgical debulking. We
emphasize the importance of aggressive approach in operable metastatic SPN.