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. 2014:2014:382535.
doi: 10.1155/2014/382535. Epub 2014 Oct 1.

Pregnancy following Radical Resection of Solid Pseudopapillary Tumor of the Pancreas

James M O'Brien  1 , Debra Gussman  1 , Ellen Hagopian  2 , Theodore Matulewicz  3
Affiliations

Pregnancy following Radical Resection of Solid Pseudopapillary Tumor of the Pancreas

James M O'Brien et al. Case Rep Obstet Gynecol. 2014.

Abstract

Solid pseudopapillary tumor of the pancreas is a rare tumor seen in predominately young women and carries a low malignant potential. We discuss a patient, who presented to our high risk clinic, with a clinical history of solid pseudopapillary tumor of the pancreas, predating her pregnancy. The patient had undergone previous surgery and imaging which had excluded recurrence of disease; however, increased attention was paid to the patient during her pregnancy secondary to elevated hormonal levels of progesterone, which any residual disease would have a heightened sensitivity to. In cases of pregnant patients with a history of pancreatic tumors, a multidisciplinary approach with maternal fetal medicine, medicine, and general surgery is appropriate and can result in a healthy mother and healthy term infant.

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Figures

Figure 1
Figure 1
Gross surgical specimen showing the distal pancreas and the spleen.
Figure 2
Figure 2
Gross surgical specimen showing a well encapsulated cystic mass located in the distal pancreas.
Figure 3
Figure 3
Pathology slide showing pseudopapillae with hyalinized fibrovascular cores.
Figure 4
Figure 4
Pathology slide showing hyalinized core, typical of pseudopapillary tumor of the pancreas.
See this image and copyright information in PMC

References

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