Sonographic Detection of Solid Pseudopapillary Epithelial Neoplasm

Abstract

Solid pseudopapillary epithelial neoplasms are a rare form of exocrine pancreatic tumors. While most of these neoplasms are benign, small percentages are malignant. Complete resection is associated with long-term survival, even in the presence of metastatic disease. This case study presents a solid pseudopapillary epithelial neoplasm arising from the pancreatic tail. The pancreatic neoplasm was initially detected as an incidental finding sonographically and then further investigated by magnetic resonance imaging. This case highlights the importance of documenting incidental findings during sonography and how the combination of multiple imaging modalities provided an accurate diagnosis that led to proper treatment.