Skip to main content
Log in

Solid pseudopapillary tumour of the pancreas: distinct patterns of computed tomography manifestation for male versus female patients

  • Abdominal Radiology
  • Published:
La radiologia medica Aims and scope Submit manuscript

Abstract

Purpose

The purpose of this study was to retrospectively assess the features of computed tomography (CT) images and clinical characteristics of male patients with solid pseudopapillary tumours (SPTs) and compare them with those of female patients.

Materials and methods

Computed tomography images and clinical data of 102 patients with pathologically proven SPTs were reviewed. Details of the location, diameter, shape, encapsulation, calcification, internal composition, CT attenuation, and enhancement pattern of tumours were noted. Statistical analysis was performed using the χ 2 and t tests.

Results

Data from 16 males and 86 females were collected. Males were significantly older than females (38.5 years vs. 28.7 years; P = 0.004). Except for mean age, no significant statistical difference was observed between the clinical factors of SPTs in males and females. The mean tumour size in males was significantly smaller than that in females (5.3 vs. 7.6 cm; P = 0.037). Solid tumours were more common in males (8/16; 50 %) than in females (5/86; 5.8 %; P < 0.001).

Conclusion

The imaging features of SPTs of males are different from those of females. In males, the finding of small, prominently solid tumours showing enhancement patterns typical of SPTs may suggest a diagnosis of SPT.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Lichtenstein L (1934) Papillary cystadenocarcinoma of the pancreas. Am J Cancer 21:542–553

    Article  Google Scholar 

  2. Frantz VK (1959) Tumors of the pancreas. In: Atlas of tumor pathology. Armed forces Institute of Pathology, Washington, DC, pp 32–33

  3. Papavramidis T, Papavramidis S (2005) Solid pseudopapillary tumors of the pancreas: review of 718 patients reported in English literature. J Am Coll Surg 200:965–972

    Article  PubMed  Google Scholar 

  4. Lin MY, Stabile BE (2010) Solid pseudopapillary neoplasm of the pancreas: a rare and atypically aggressive disease among male patients. Am Surg 76:1075–1078

    PubMed  Google Scholar 

  5. Lam KY, Lo CY, Fan ST (1999) Pancreatic solid-cystic-papillary tumor: clinicopathologic features in eight patients from Hong Kong and review of the literature. World J Surg 23:1045–1050

    Article  CAS  PubMed  Google Scholar 

  6. Machado MC, Machado MA, Bacchella T et al (2008) Solid pseudopapillary neoplasm of the pancreas: distinct patterns of onset, diagnosis, and prognosis for male versus female patients. Surgery 143:29–34

    Article  PubMed  Google Scholar 

  7. Uchimi K, Fujita N, Noda Y et al (2002) Solid cystic tumor of the pancreas: report of six cases and a review of the Japanese literature. J Gastroenterol 37:972–980

    Article  PubMed  Google Scholar 

  8. Takahashi Y, Hiraoka N, Onozato K et al (2006) Solid-pseudopapillary neoplasms of the pancreas in men and women: do they differ? Virchows Arch 448:561–569

    Article  PubMed  Google Scholar 

  9. Klimstra DS, Wenig BM, Heffess CS (2000) Solid-pseudopapillary tumor of the pancreas: a typically cystic carcinoma of low malignant potential. Semin Diagn Pathol 17:66–80

    CAS  PubMed  Google Scholar 

  10. Yu PF, Hu ZH, Wang XB et al (2010) Solid pseudopapillary tumor of the pancreas: a review of 553 cases in Chinese literature. World J Gastroenterol 16:1209–1214

    Article  PubMed  Google Scholar 

  11. Tien YW, Ser KH, Hu RH et al (2005) Solid pseudopapillary neoplasms of the pancreas: is there a pathologic basis for the observed gender differences in incidence? Surgery 137:591–596

    Article  PubMed  Google Scholar 

  12. Choi JY, Kim MJ, Kim JH et al (2006) Solid pseudopapillary tumor of the pancreas: typical and atypical manifestations. Am J Roentgenol 187:178–186

    Article  Google Scholar 

  13. Buetow PC, Buck JL, Pantongrag-Brown L et al (1996) Solid and papillary epithelial neoplasm of the pancreas: imaging-pathologic correlation on 56 cases. Radiology 199:707–711

    CAS  PubMed  Google Scholar 

  14. Chung YE, Kim MJ, Choi JY et al (2009) Differentiation of benign and malignant solid pseudopapillary neoplasms of the pancreas. J Comput Assist Tomogr 33:689–694

    Article  PubMed  Google Scholar 

  15. Baek JH, Lee JM, Kim SH et al (2010) Small (≤3 cm) solid pseudopapillary tumors of the pancreas at multiphasic multidetector CT. Radiology 257:97–106

    Article  PubMed  Google Scholar 

  16. Hu S, Lin X, Song Q, Chen K (2012) Solid pseudopapillary tumour of the pancreas in children: clinical and computed tomography manifestation. Radiol Med 117:1242–1249

    Article  CAS  PubMed  Google Scholar 

  17. Mancini G, Dudrick P, Grindstaff A, Bell J (2004) Solid-pseudopapillary tumor of the pancreas: two cases in male patients. Am Surg 70:26–31

    Google Scholar 

  18. Martin RC, Klimstra DS, Brennan MF, Conlon KC (2002) Solid-pseudopapillary tumor of the pancreas: a surgical enigma? Ann Surg Oncol 9:35–40

    Article  PubMed  Google Scholar 

  19. Vargas-Serrano B, Domínguez-Ferreras E, Chinchón-Espino D (2006) Four cases of solid pseudopapillary tumors of pancreas: imaging findings and pathological correlations. Eur J Radiol 58:132–139

    Article  PubMed  Google Scholar 

  20. Goh BK, Tan YM, Cheow PC et al (2007) Solid pseudopapillary neoplasms of the pancreas: an updated experience. J Surg Oncol 95:640–644

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

Shudong Hu, Wei Huang, Xiaozhu Lin, Yafei Wang, Ke Min Chen,Weimin Chai declare no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Weimin Chai.

Additional information

S. Hu and W. Huang contributed equally to this work.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hu, S., Huang, W., Lin, X. et al. Solid pseudopapillary tumour of the pancreas: distinct patterns of computed tomography manifestation for male versus female patients. Radiol med 119, 83–89 (2014). https://doi.org/10.1007/s11547-013-0327-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11547-013-0327-2

Keywords

Navigation