Abstract
A 16-year-old female was admitted to our hospital because of symptoms of upper abdominal pain and back pain. Ultrasound sonography, a computed tomography scan, magnetic resonance imaging and angiography revealed a mass measuring 104×79mm in size in the pancreatic head. The tumor was completely covered with a fibrous capsule and a total excision was thus performed. Although the pancreatic pseudocyst demonstrated some complications after the operation, total parental nutrition and the administration of pancreatic enzyme-inhibiting agents proved to be effective. No recurrence of either SPT or the pancreatic pseudocyst have occurred during the 30-month period after surgery. A solid-pseudopapillary tumor often occurs in young women; however, such tumors tend to have a good prognosis. Regarding the optimal operative method for SPT arising in the pancreatic head, a total excision of the tumor instead of a pancreatoduodenectomy is therefore recommended in relatively young patients.
