Cytodiagnosis Of Solid Pseudopapillary Neoplasm: A Rare Pancreatic Tumour

Abstract

Solid Pseudopapillary neoplasm (SPN) of the pancreas is a rare, low-grade malignant tumour that primarily affects young females. This case report presents a 30-year-old female diagnosed with SPN, detailing her clinical presentation, diagnostic workup and histopathological findings. The objective is to contribute valuable insights into the clinical management and prognosis of this unusual pancreatic neoplasm. The prognosis for SPN is generally favourable, with a low propensity for distant metastasis. However, long-term follow-up is crucial, given the potential for late recurrence. The patient presented with nonspecific abdominal pain and discomfort for several months. FNAC was done showing tumour cells arranged in papillary pattern suggestive of solid pseudopapillary neoplasm. Cytomorphological evaluation of smears was done for cellularity, cell type, nuclear details, and background and cytologic diagnosis were made which was later on confirmed by histopathology. Surgical exploration led to the successful resection of the tumour, and the patient's postoperative course was uneventful.