Clinical case of a rare solid pseudopapillary tumor of the pancreas

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Abstract

Solid pseudopapillary tumor (SPPT) is a rare low-grade neoplasm. It accounts for 6% of all exocrine pancreatic tumors and 0.2–2.7% of the total number of malignant neoplasms. Microscopically, it is characterized by monomorphic epithelial cells with impaired intercellular adhesion, resembling pseudopapillary and solid structures. Such tumors often undergo hemorrhage and cystic degeneration. In 90% of cases, SPPT occurs in women aged 22–35 years. It also occurs in children, mostly girls, and men, with mean age of 25–40 years. According to the clinical observations conducted by I.N. Sokolova et al., the clinical presentation is most often absent, and in rare cases it can be mild or atypical. The most common complaints are pain, nausea, vomiting and abdominal discomfort. The prognosis for this diagnosis is favorable, and most patients are completely cured without relapse after surgery. In this article, we describe a clinical case of a 36-year-old woman with a massive retroperitoneal tumor.

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About the authors

G. G. Khakimova

Department of Oncology, Pediatric Oncology, Tashkent Pediatric Medical Institute; Tashkent city Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology

Author for correspondence.
Email: pharmateca@yandex.ru
ORCID iD: 0000-0002-4970-5429

Cand. Sci. (Med.), Associate Professor at the Department of Pediatric Surgery and Course of Oncology, Tashkent Pediatric Medical Institute; Tashkent city Branch of the Republican Specialized Scientific and Practical Medical Center of Oncology and Radiology

Uzbekistan, Tashkent; Tashkent

M. B. Tashtemirova

Tashkent Pediatric Medical Institute

Email: pharmateca@yandex.ru
Uzbekistan, Tashkent

A. N. Rakhmonov

Tashkent Pediatric Medical Institute

Email: pharmateca@yandex.ru
Uzbekistan, Tashkent

M. A. Zhakhongirova

Tashkent Pediatric Medical Institute

Email: pharmateca@yandex.ru
Uzbekistan, Tashkent

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig 1. CT scan of the abdominal organs in two projections

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3. Fig. 2. Macroscopic histological structure of the tumor

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4. Fig. 3. Microscopic histological structure of the tumor with hematoxylin-eosin staining

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5. Fig 4. Immunohistochemical study of the pancreatic thyroid gland

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