Solid Pseudopapillary Tumor of the Pancreas with Hepatic Metastasis: Spontaneous Regression Over 10-Year Follow-Up Period.
10.3348/kjr.2012.13.5.648
- Author:
Hyun Jung YOON
1
;
Jae Hoon LIM
Author Information
1. Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea. jhlim@skku.edu
- Publication Type:Case Reports
- Keywords:
Solid-pseudopapillary neoplasm;
Hepatic metastasis;
Pancreas;
Natural course;
Computed tomography
- MeSH:
Adolescent;
Carcinoma, Papillary/radiography/*secondary;
Humans;
Liver Neoplasms/radiography/*secondary;
Male;
Pancreatic Neoplasms/*pathology/radiography;
Remission, Spontaneous;
Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2012;13(5):648-651
- CountryRepublic of Korea
- Language:English
-
Abstract:
A solid-pseudopapillary tumor (SPT) of the pancreas is known as a low grade malignant tumor with a good prognosis; therefore, surgical intervention is necessary. A 14-year-old boy presented with a large pancreatic SPT and three hepatic metastases. The patient and his family refused surgery. Two serial follow-up CT scans over a period of 13 years demonstrated almost complete disappearance of the pancreatic tumor and three hepatic metastases without relevant treatment. Although there have been a few reports of spontaneous healing of SPT, there has been no report regarding spontaneous disappearance of SPT and distant metastasis. Herein, we report on the spontaneous regression of a large SPT and the disappearance of three hepatic metastases.