A case of small solid-pseudopapillary tumor of the pancreas complicated by lymph node metastasis *
A 27-year-old woman visited our hospital, because she had experienced severe epigastric pain. The diagnosis on admission was acute pancreatitis, which was determined by elevation of urinary amylase. A hyperechoic tumor was detected in the pancreatic body-tail position ultrasonographically. CT and MRI detected the tumor as a cystic tumor, and also disclosed dilatation of the distal pancreatic duct. Therefore, a distal pancreatectomy and a splenectomy were performed. The lesion was pathologically diagnosed as a solid-pseudopapillary tumor of the pancreas. It is very rare for this type of tumor to have malignant potential, but, in this case, the tumor was complicated by lymph node metastasis. (Accepted on April 9 , 2002) Kawasaki Igakkaishi 28(2) : 109 -113, 2002
