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Solid pseudopapillary tumour

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are outgrowths of epithelium, surrounding fibrovascular cores of stroma and at least one blood vessel. In contrast, pseudopapillae (such as in solid pseudopapillary tumours) are nests of proliferating cells that eventually grow to become almost back-to-back, with cells in the centers of nests
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Solid pseudopapillary tumours are often asymptomatic and are identified incidentally on imaging performed for unrelated reasons. Less often, they may cause abdominal pain. Solid pseudopapillary tumours tend to occur in women, and most often present in the third decade of life.
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Pettinato G, Manivel JC, Ravetto C, et al. (November 1992). "Papillary cystic tumor of the pancreas: A clinicopathologic study of 20 cases with cytologic, immunohistochemical, ultrastructural, and flow cytometric observations, and a review of the literature".
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Pitman MB, Centeno BA, Daglilar ES, Brugge WR, Mino-Kenudson M (2014). "Cytological criteria of high-grade epithelial atypia in the cyst fluid of pancreatic intraductal papillary mucinous neoplasms".
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positive eosinophilic intracytoplasmic globules. Necrosis is usually present and, as cell death preferentially occurs distant from blood vessels, lead to the formation of pseudopapillae.
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Cytopathology of solid pseudopapillary tumour/neoplasm with main findings that distinguish it from pancreatic endocrine neoplasms and acinar cell carcinomas. Diff-Quik stain.
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disintegrating, leaving rims of cells lining the periphery of each nest. Discohesive cells and some formations lacking central blood vessels are visual clues.
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Wang Y, Miller FH, Chen ZE, Merrick L, Mortele KJ, Hoff FL, et al. (2011). "Diffusion-weighted MR imaging of solid and cystic lesions of the pancreas".
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Solid pseudopapillary tumours are typically round, well-demarcated, measuring 2–17 cm in diameter (average 8 cm), with solid and cystic areas with
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Solid pseudopapillary tumours consist of solid sheets of cells that are focally dyscohesive. The cells in the lesion usually have uniform
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immunohistochemistry in solid pseudopapillary tumor, staining the nuclei in 98% of such cases. Cytoplasm is also staining in this case.
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by endoscopic ultrasound (EUS) guided fine needle aspiration (FNA) of the lesion. After surgical excision, the tumor can undergo
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In most cases, solid pseudopapillary tumours should be resected surgically, as there is a risk of malignancy (cancer).
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Solid pseudopapillary tumours show positive nuclear staining for beta catenin, as well as positive immunostaining for
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Relative incidence of various pancreatic neoplasms, with solid pseudopapillary neoplasm annotated at center right.
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Solid pseudopapillary neoplasm, solid pseudopapillary tumour/neoplasm of the pancreas, Frantz's tumour
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Pooja Navale, M.D., Omid Savari, M.D., Joseph F. Tomashefski, Jr., M.D., Monika Vyas, M.D.
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Pooja Navale, M.D., Omid Savari, M.D., Joseph F. Tomashefski, Jr., M.D., Monika Vyas, M.D.
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The gold standard for diagnosing solid pseudopapillary tumour of the pancreas is
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10.1002/1097-0142(19910315)67:6<1635::aid-cncr2820670627>3.0.co;2-m
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Patil TB, Shrikhande SV, Kanhere HA, Saoji RR, Ramadwar MR, Shukla PJ (2006).
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with occasional nuclear grooves, eosinophilic or clear cytoplasm and
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Stömmer P, Kraus J, Stolte M, Giedl J (March 1991).
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Elsevier. p. 478. 1266: 1195: 1153: 1076: 1067: 1042: 1020: 918: 895: 870: 861: 812: 789: 780: 771: 59: 37: 32: 89:architecture that typically afflicts young women. 334:Images and annotations: Mikael Häggström, M.D. 749: 203:Histopathology of solid pseudopapillary tumor 8: 718:: CS1 maint: multiple names: authors list ( 647:: CS1 maint: multiple names: authors list ( 1073: 867: 786: 777: 756: 742: 734: 46: 29: 1012:Hereditary nonpolyposis colorectal cancer 568: 527: 471: 461: 420: 410: 369: 105: 1237:Intraductal papillary mucinous neoplasm 290: 193: 711: 640: 596:American Journal of Clinical Pathology 7: 1286:Desmoplastic small round cell tumor 510:Serra S, Chetty R (November 2008). 497:Diagnostic Histopathology of Tumors 274:Pancreatic mucinous cystic neoplasm 218:of a solid pseudopapillary tumour. 987:Polymerase proofreading-associated 279:Serous cystadenoma of the pancreas 25: 849:Hereditary diffuse gastric cancer 690:Diagram by Mikael Häggström, M.D. 110:Papillae vs pseudopapillae: True 1145:Nodular regenerative hyperplasia 724:Last author update: 4 March 2022 702:"Solid pseudopapillary neoplasm" 653:Last author update: 4 March 2022 635:"Solid pseudopapillary neoplasm" 239: 227: 208: 196: 450:Journal of Medical Case Reports 297:Source for mentioned findings: 1247:Solid pseudopapillary neoplasm 1050:Gastrointestinal stromal tumor 1007:Familial adenomatous polyposis 629:Image by Mikael Häggström, MD. 1: 1055:Krukenberg tumor (metastatic) 1276:Primary peritoneal carcinoma 950:traditional serrated adenoma 75:solid pseudopapillary tumour 33:Solid pseudopapillary tumour 1216:Pancreatic ductal carcinoma 18:Solid pseudopapillary tumor 1328: 1307:Digestive system neoplasia 1232:Serous microcystic adenoma 827:Signet ring cell carcinoma 765:Digestive system neoplasia 1140:Focal nodular hyperplasia 463:10.1186/s13256-018-1585-3 444:De Moura, D.T.H. (2018). 362:10.1080/13651820510035721 77:is a low-grade malignant 54: 45: 1242:Mucinous cystic neoplasm 1092:Hepatocellular carcinoma 946:sessile serrated adenoma 631:Reference for features: 393:Shuja, Asim (May 2014). 191:and pancreatic enzymes. 187:; they are negative for 1281:Peritoneal mesothelioma 1030:Squamous cell carcinoma 799:Squamous cell carcinoma 529:10.1136/jcp.2008.057828 399:Gastroenterol Rep (Oxf) 185:neuron specific enolase 1122:Hepatocellular adenoma 910:Pseudomyxoma peritonei 116: 609:10.1093/ajcp/98.5.478 495:Fletcher CDM (2007). 412:10.1093/gastro/gou006 109: 1127:Cavernous hemangioma 978:Familial adenomatous 965:Polyposis syndromes: 677:10.1148/rg.313105174 163:Immunohistochemistry 181:alpha 1-antitrypsin 1187:Gallbladder cancer 1169:Cholangiocarcinoma 1109:Liver angiosarcoma 1043:Upper and/or lower 992:Serrated polyposis 706:Pathology Outlines 313:10.1002/cncy.21344 117: 93:Signs and symptoms 1312:Pancreatic cancer 1294: 1293: 1262: 1261: 1254:Pancreatoblastoma 1206:exocrine pancreas 1063: 1062: 1038: 1037: 857: 856: 822:Gastric carcinoma 301:Cancer Cytopathol 269:Pancreatic cancer 143:on cut sections. 71: 70: 27:Medical condition 16:(Redirected from 1319: 1074: 973:MUTYH-associated 958:Cronkhite–Canada 929:Colorectal polyp 868: 844:Linitis plastica 832:Gastric lymphoma 787: 778: 758: 751: 744: 735: 725: 723: 717: 709: 697: 691: 688: 660: 654: 652: 646: 638: 627: 621: 620: 589: 583: 582: 572: 548: 542: 541: 531: 507: 501: 500: 492: 486: 485: 475: 465: 441: 435: 434: 424: 414: 390: 384: 383: 373: 341: 335: 332: 295: 243: 231: 212: 200: 135:Gross morphology 50: 30: 21: 1327: 1326: 1322: 1321: 1320: 1318: 1317: 1316: 1297: 1296: 1295: 1290: 1258: 1191: 1149: 1059: 1034: 1016: 914: 891: 880:Duodenal cancer 872:Small intestine 853: 808: 767: 762: 731: 729: 728: 710: 699: 698: 694: 689: 662: 661: 657: 639: 632: 630: 628: 624: 591: 590: 586: 550: 549: 545: 516:J. Clin. Pathol 509: 508: 504: 494: 493: 489: 443: 442: 438: 392: 391: 387: 343: 342: 338: 333: 298: 296: 292: 287: 265: 257: 250: 244: 235: 232: 223: 213: 204: 201: 165: 149: 147:Histomorphology 137: 127:evaluation for 104: 95: 28: 23: 22: 15: 12: 11: 5: 1325: 1323: 1315: 1314: 1309: 1299: 1298: 1292: 1291: 1289: 1288: 1283: 1278: 1272: 1270: 1264: 1263: 1260: 1259: 1257: 1256: 1250: 1249: 1244: 1239: 1234: 1219: 1218: 1213: 1211:Adenocarcinoma 1201: 1199: 1193: 1192: 1190: 1189: 1177: 1176: 1174:Klatskin tumor 1171: 1159: 1157: 1151: 1150: 1148: 1147: 1142: 1130: 1129: 1124: 1112: 1111: 1106: 1104:Hepatoblastoma 1101: 1100: 1099: 1082: 1080: 1071: 1065: 1064: 1061: 1060: 1058: 1057: 1052: 1046: 1044: 1040: 1039: 1036: 1035: 1033: 1032: 1026: 1024: 1018: 1017: 1015: 1014: 1009: 1004: 1002:Adenocarcinoma 995: 994: 989: 984: 975: 970: 961: 960: 924: 922: 916: 915: 913: 912: 907: 901: 899: 893: 892: 890: 889: 888: 887: 885:Adenocarcinoma 876: 874: 865: 859: 858: 855: 854: 852: 851: 846: 841: 840: 839: 829: 824: 818: 816: 810: 809: 807: 806: 804:Adenocarcinoma 801: 795: 793: 784: 775: 769: 768: 763: 761: 760: 753: 746: 738: 727: 726: 692: 655: 622: 584: 563:(6): 1635–41. 543: 522:(11): 1153–9. 502: 487: 436: 405:(2): 145–149. 385: 336: 289: 288: 286: 283: 282: 281: 276: 271: 264: 261: 256: 253: 252: 251: 245: 238: 236: 233: 226: 224: 216:Histopathology 214: 207: 205: 202: 195: 164: 161: 148: 145: 136: 133: 129:cancer staging 125:histopathology 103: 100: 94: 91: 69: 68: 63: 57: 56: 52: 51: 43: 42: 39: 35: 34: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 1324: 1313: 1310: 1308: 1305: 1304: 1302: 1287: 1284: 1282: 1279: 1277: 1274: 1273: 1271: 1269: 1265: 1255: 1252: 1251: 1248: 1245: 1243: 1240: 1238: 1235: 1233: 1229: 1228: 1225: 1221: 1220: 1217: 1214: 1212: 1209: 1207: 1203: 1202: 1200: 1198: 1194: 1188: 1185: 1183: 1179: 1178: 1175: 1172: 1170: 1167: 1165: 1161: 1160: 1158: 1156: 1155:Biliary tract 1152: 1146: 1143: 1141: 1138: 1136: 1132: 1131: 1128: 1125: 1123: 1120: 1118: 1114: 1113: 1110: 1107: 1105: 1102: 1098: 1097:Fibrolamellar 1095: 1094: 1093: 1090: 1088: 1084: 1083: 1081: 1079: 1075: 1072: 1070: 1066: 1056: 1053: 1051: 1048: 1047: 1045: 1041: 1031: 1028: 1027: 1025: 1023: 1019: 1013: 1010: 1008: 1005: 1003: 1000: 997: 996: 993: 990: 988: 985: 983: 979: 976: 974: 971: 969: 966: 963: 962: 959: 955: 954:Peutz–Jeghers 951: 947: 943: 939: 935: 932: 930: 926: 925: 923: 921: 917: 911: 908: 906: 903: 902: 900: 898: 894: 886: 883: 882: 881: 878: 877: 875: 873: 869: 866: 864: 860: 850: 847: 845: 842: 838: 837:MALT lymphoma 835: 834: 833: 830: 828: 825: 823: 820: 819: 817: 815: 811: 805: 802: 800: 797: 796: 794: 792: 788: 785: 783: 779: 776: 774: 770: 766: 759: 754: 752: 747: 745: 740: 739: 736: 732: 721: 715: 707: 703: 696: 693: 686: 682: 678: 674: 671:(3): E47-64. 670: 666: 665:Radiographics 659: 656: 650: 644: 636: 626: 623: 618: 614: 610: 606: 603:(5): 478–88. 602: 598: 597: 588: 585: 580: 576: 571: 566: 562: 558: 554: 547: 544: 539: 535: 530: 525: 521: 517: 513: 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285:References 255:Management 141:hemorrhage 1227:neoplasms 1164:bile duct 1087:malignant 1069:Accessory 999:Neoplasm: 982:Gardner's 905:Carcinoid 791:Esophagus 329:205677185 247:β-catenin 102:Diagnosis 87:papillary 61:Specialty 1197:Pancreas 968:Juvenile 942:juvenile 897:Appendix 773:GI tract 714:cite web 685:21721197 643:cite web 538:18708424 482:29695287 431:24759340 380:18333264 321:23939829 263:See also 177:vimentin 112:papillae 83:pancreas 79:neoplasm 66:Oncology 934:adenoma 814:Stomach 617:1283055 579:1900454 473:5918898 422:4020125 371:2131425 81:of the 1224:cystic 1117:benign 683:  615:  577:  557:Cancer 536:  480:  470:  429:  419:  378:  368:  327:  319:  183:, and 153:nuclei 1078:Liver 863:Lower 782:Upper 325:S2CID 1022:Anus 720:link 681:PMID 649:link 613:PMID 575:PMID 534:PMID 478:PMID 427:PMID 376:PMID 317:PMID 173:CD56 169:CD10 673:doi 605:doi 565:doi 524:doi 468:PMC 458:doi 417:PMC 407:doi 366:PMC 358:doi 350:HPB 309:doi 305:122 157:PAS 85:of 1303:: 1230:: 956:, 952:, 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Index

Solid pseudopapillary tumor

Specialty
Oncology
neoplasm
pancreas
papillary

papillae
cytopathology
histopathology
cancer staging
hemorrhage
nuclei
PAS
CD10
CD56
vimentin
alpha 1-antitrypsin
neuron specific enolase
chromogranin
Histopathology of solid pseudopapillary tumor
Histopathology of a solid pseudopapillary tumour. H&E stain. This case also shows the key feature of intracytoplasmic hyaline globules.
Histopathology
H&E stain
Relative incidence of various pancreatic neoplasms, with solid pseudopapillary neoplasm annotated at center right.
β-catenin immunohistochemistry in solid pseudopapillary tumor, staining the nuclei in 98% of such cases. Cytoplasm is also staining in this case.
β-catenin
Pancreatic cancer
Pancreatic mucinous cystic neoplasm

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