Frantz's tumour. Unusual presentation in two adolescents

Abstract

Introduction

Solid pseudopapillary neoplasm of the pancreas is a rare form of cancer with low malignant potential, accounting for 0.17–2.7% of all pancreatic tumours.

Case report 1

A 17-year-old female patient who presented with symptoms six months after a Caesarean section. She was referred to our institution for a 10 cm × 10 cm tumour in the upper right quadrant. Abdominal computed tomography showed a mixed mass at the head of the pancreas compatible with Frantz's tumour. Underwent surgery, in which the classic Whipple procedure was performed.

Case report 2

A 17-year-old female patient with a history of blunt abdominal trauma days before admission. Abdominal computed tomography showed a 10.6 cm × 10 cm heterogeneous and septate tumour at the head of the pancreas; preoperative diagnosis of solid pseudopapillary neoplasm. Underwent surgery, in which the pylorus-preserving Whipple procedure was performed.

Conclusion

Solid pseudopapillary neoplasm of the pancreas is a rare tumour of unknown origin and with good prognosis after surgical resection.