Solid Pseudopapillary Tumors of Pancreas： CT Imaging Features and Correlation with Pathological Findings_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YANG Shiping ^1,2 , LU Changli ³ , HUANG Zixing ² ,  SONG Bin ² , WU Bi ²

1.Department of Radiology, General Hospital of Sichuan Petroleum Authority, Chengdu 610213, Sichuan Province, China;;
2.Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China;;
3.Department of Pathology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China;

Corresponding author：

SONG Bin, Email: cjr.songbin@vip.163.com

Keywords：

Pancreas neoplasm; Solid pseudopapillary tumor; X-ray tomography; Pathology

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ObjectiveTo analyze the CT features of solid pseudopapillary tumor of pancreas (SPTP). MethodsEight patients with SPTP received triple phasic contrast-enhanced CT, and its consistency with pathological findings was analyzed. ResultsSPTP manifested as a solitary and exogenous mass, with a heterogeneous pattern composed of solid and polycystic parts. The shape of SPTP was spherical in four patients, oval in two patients, and shallow lobulation in another two patients. In contrast-enhanced phase images, the solid parts showed mild to moderate enhancement in both arterial and portal phases. Complete capsule was showed in seven patients, and nodules were found in the wall of mass in five patients. Hemorrhage was seen in two patients and calcification was showed in five patients. The dilation of pancreatic duct was found in one patient, liver metastases was showed in one patient, and the invasion of tumor to posterior gastric wall was found in one patient. Pseudopapillary structure, hemorrhage, necrosis, and cystic degeneration were showed in all patients by histological study. ConclusionSPTP has certain characteristic CT imaging manifestations consistent with histological features, which is helpful for the diagnosis and differential diagnosis of SPTP.

Citation： YANG Shiping ,LU Changli,HUANG Zixing,SONG Bin,WU Bi. Solid Pseudopapillary Tumors of Pancreas： CT Imaging Features and Correlation with Pathological Findings. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2011, 18(1): 85-88. doi: Copy

1.	Papavramidis T, Papavramidis S. Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in English literature [J]. J Am Coll Surg, 2005, 200(6): 965972.
2.	Mulkeen AL, Yoo PS, Cha C. Less common neoplasms of the pancreas [J]. World J Gastroenterol, 2006, 12(20): 31803185.
3.	Frantz VK. Tumors of the pancreas [A]. In: Frantz VK Eds. Atlas of Tumour Pathology [M]. Washington, DC: Armed Forces Institute of Pathology, 1959: 3233.
4.	Kloppel G, Soleia E, Longnecker DS, et al. Histological typing of tumors of the exocrine pancreas [M]. 2nd ed. New York: Springer, 1996: 1521.
5.	Yang F, Fu DL, Jin C, et al. Clinical experiences of solid pseudopapillary tumors of the pancreas in China [J]. J Gastroenterol Hepatol, 2008, 23(12): 18471851.
6.	Seo HE, Lee MK, Lee YD, et al. Solidpseudopapillary tumor of the pancreas [J]. J Clin Gastroenterol, 2006, 40(10): 919922.
7.	Yu PF, Hu ZH, Wang XB, et al. Solid pseudopapillary tumor of the pancreas: a review of 553 cases in Chinese literature [J]. World J Gastroenterol, 2010, 16(10): 12091214.
8.	Huang HL, Shih SC, Chang WH, et al. Solidpseudopapillary tumor of the pancreas: clinical experience and literature review [J]. World J Gastroenterol, 2005, 11(9): 14031409.
9.	Reddy S, Cameron JL, Scudiere J, et al. Surgical management of solidpseudopapillary neoplasms of the pancreas (Franz or Hamoudi tumors): a large singleinstitutional series [J]. J Am Coll Surg, 2009, 208(5): 950959.
10.	李开宇, 徐福军, 徐雷. 胰腺实性假乳头状瘤的诊治进展 [J]. 中国普外基础与临床杂志, 2009, 16(5): 418420.
11.	何贤禄, 张尚福, 卢强, 等. 胰腺实性假乳头状瘤的诊断与治疗 [J]. 中国普外基础与临床杂志, 2008, 15(8): 564565.
12.	Mao C, Guvendi M, Domenico DR, et al. Papillary cystic and solid tumors of the pancreas: a pancreatic embryonic tumor? Studies of three cases and cumulative review of the world’s literature [J]. Surgery, 1995, 118(5): 821828.
13.	Jaksic T, Yaman M, Thorner P, et al. A 20year review of pediatric pancreatic tumors [J]. J Pediatr Surg, 1992, 27(10): 13151317.
14.	周红, 曾津津. 小儿胰腺乳头状囊性实性肿瘤 [J]. 中华小儿外科杂志, 2003, 24(1): 911.
15.	Mortenson MM, Katz MH, Tamm EP, et al. Current diagnosis and management of unusual pancreatic tumors [J]. Am J Surg, 2008, 196(1): 100113.
16.	王海, 冷冬妮, 石群立, 等. 胰腺实性假乳头状瘤临床病理及超微结构分析 [J]. 中国肿瘤, 2009, 18(3): 245248.
17.	Geers C, Moulin P, Gigot JF, et al. Solid and pseudopapillary tumor of the pancreas-review and new insights into pathogenesis [J]. Am J Surg Pathol, 2006, 30(10): 12431249.
18.	Adams AL, Siegal GP, Jhala NC. Solid pseudopapillary tumor of the pancreas: a review of salient clinical and pathologic features [J]. Adv Anat Pathol, 2008, 15(1): 3945.
19.	Adsay NV. Cystic neoplasia of the pancreas: pathology and biology [J]. J Gastrointest Surg, 2008, 12(3): 401404.
20.	胡敏霞, 赵心明, 罗巍. 胰腺实性假乳头状瘤的多层螺旋CT表现与病理对照 [J]. 中国医学影像技术, 2010, 26(7): 12771280.
21.	Lee SE, Jang JY, Hwang DW, et al. Clinical features and outcome of solid pseudopapillary neoplasm: differences between adults and children [J]. Arch Surg, 2008, 143(12): 12181221.
22.	Shimizu M, Matsumoto T, Hirokawa M, et al. Solidpseudopapillary carcinoma of the pancreas [J]. Pathol Int, 1999, 49(3): 231234.
23.	缪飞, 展颖, 王晓颖, 等. 胰腺实性假乳头状瘤影像与病理诊断分析 [J]. 临床放射学杂志, 2004, 23(7): 589592.
24.	Casadei R, Santini D, Calculli L, et al. Pancreatic solidcystic papillary tumor: clinical features, imaging findings and operative management [J]. JOP, 2006, 7(1): 137144.
25.	Lee JH, Yu JS, Kim H, et al. Solid pseudopapillary carcinoma of the pancreas: differentiation from benign solid pseudopapillary tumour using CT and MRI [J]. Clin Radiol, 2008, 63(9): 10061014.

1. Papavramidis T, Papavramidis S. Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in English literature [J]. J Am Coll Surg, 2005, 200(6): 965972.
2. Mulkeen AL, Yoo PS, Cha C. Less common neoplasms of the pancreas [J]. World J Gastroenterol, 2006, 12(20): 31803185.
3. Frantz VK. Tumors of the pancreas [A]. In: Frantz VK Eds. Atlas of Tumour Pathology [M]. Washington, DC: Armed Forces Institute of Pathology, 1959: 3233.
4. Kloppel G, Soleia E, Longnecker DS, et al. Histological typing of tumors of the exocrine pancreas [M]. 2nd ed. New York: Springer, 1996: 1521.
5. Yang F, Fu DL, Jin C, et al. Clinical experiences of solid pseudopapillary tumors of the pancreas in China [J]. J Gastroenterol Hepatol, 2008, 23(12): 18471851.
6. Seo HE, Lee MK, Lee YD, et al. Solidpseudopapillary tumor of the pancreas [J]. J Clin Gastroenterol, 2006, 40(10): 919922.
7. Yu PF, Hu ZH, Wang XB, et al. Solid pseudopapillary tumor of the pancreas: a review of 553 cases in Chinese literature [J]. World J Gastroenterol, 2010, 16(10): 12091214.
8. Huang HL, Shih SC, Chang WH, et al. Solidpseudopapillary tumor of the pancreas: clinical experience and literature review [J]. World J Gastroenterol, 2005, 11(9): 14031409.
9. Reddy S, Cameron JL, Scudiere J, et al. Surgical management of solidpseudopapillary neoplasms of the pancreas (Franz or Hamoudi tumors): a large singleinstitutional series [J]. J Am Coll Surg, 2009, 208(5): 950959.
10. 李开宇, 徐福军, 徐雷. 胰腺实性假乳头状瘤的诊治进展 [J]. 中国普外基础与临床杂志, 2009, 16(5): 418420.
11. 何贤禄, 张尚福, 卢强, 等. 胰腺实性假乳头状瘤的诊断与治疗 [J]. 中国普外基础与临床杂志, 2008, 15(8): 564565.
12. Mao C, Guvendi M, Domenico DR, et al. Papillary cystic and solid tumors of the pancreas: a pancreatic embryonic tumor? Studies of three cases and cumulative review of the world’s literature [J]. Surgery, 1995, 118(5): 821828.
13. Jaksic T, Yaman M, Thorner P, et al. A 20year review of pediatric pancreatic tumors [J]. J Pediatr Surg, 1992, 27(10): 13151317.
14. 周红, 曾津津. 小儿胰腺乳头状囊性实性肿瘤 [J]. 中华小儿外科杂志, 2003, 24(1): 911.
15. Mortenson MM, Katz MH, Tamm EP, et al. Current diagnosis and management of unusual pancreatic tumors [J]. Am J Surg, 2008, 196(1): 100113.
16. 王海, 冷冬妮, 石群立, 等. 胰腺实性假乳头状瘤临床病理及超微结构分析 [J]. 中国肿瘤, 2009, 18(3): 245248.
17. Geers C, Moulin P, Gigot JF, et al. Solid and pseudopapillary tumor of the pancreas-review and new insights into pathogenesis [J]. Am J Surg Pathol, 2006, 30(10): 12431249.
18. Adams AL, Siegal GP, Jhala NC. Solid pseudopapillary tumor of the pancreas: a review of salient clinical and pathologic features [J]. Adv Anat Pathol, 2008, 15(1): 3945.
19. Adsay NV. Cystic neoplasia of the pancreas: pathology and biology [J]. J Gastrointest Surg, 2008, 12(3): 401404.
20. 胡敏霞, 赵心明, 罗巍. 胰腺实性假乳头状瘤的多层螺旋CT表现与病理对照 [J]. 中国医学影像技术, 2010, 26(7): 12771280.
21. Lee SE, Jang JY, Hwang DW, et al. Clinical features and outcome of solid pseudopapillary neoplasm: differences between adults and children [J]. Arch Surg, 2008, 143(12): 12181221.
22. Shimizu M, Matsumoto T, Hirokawa M, et al. Solidpseudopapillary carcinoma of the pancreas [J]. Pathol Int, 1999, 49(3): 231234.
23. 缪飞, 展颖, 王晓颖, 等. 胰腺实性假乳头状瘤影像与病理诊断分析 [J]. 临床放射学杂志, 2004, 23(7): 589592.
24. Casadei R, Santini D, Calculli L, et al. Pancreatic solidcystic papillary tumor: clinical features, imaging findings and operative management [J]. JOP, 2006, 7(1): 137144.
25. Lee JH, Yu JS, Kim H, et al. Solid pseudopapillary carcinoma of the pancreas: differentiation from benign solid pseudopapillary tumour using CT and MRI [J]. Clin Radiol, 2008, 63(9): 10061014.

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