Rare pancreatic tumor detected unexpectedly in a child in the Ivory Coast

• Published in: The Pan African medical journal 2018, Vol.29, p.171-171
• Main Authors: Azagoh-Kouadio, Richard, Couitchéré, Line Guei, Kouyaté, Mohamed, Atteby, Jean-Jacques Yao, Enoh, Jacob Slanziahuelie, Cissé, Lassina, Oulai, Soumahoro
• Format: Article
• Language: fre
• Subjects: Carcinoma, Papillary - diagnosis; Carcinoma, Papillary - pathology; Carcinoma, Papillary - surgery; Child; Cote d'Ivoire; Female; Follow-Up Studies; Humans; Immunohistochemistry; Pancreatectomy - methods; Pancreatic Neoplasms - diagnosis; Pancreatic Neoplasms - pathology; Pancreatic Neoplasms - surgery; Splenectomy - methods
• ISSN: 1937-8688
• DOI: 10.11604/pamj.2018.29.171.12392

Solid pseudopapillary tumor of the pancreas (SPTP) is rare. It most often affects young women. It was first described by Frantz in 1959, but its pathogenesis remains unclear. This tumor has a good prognosis. Treatment is based on radical surgery. We here report the case of a 11-year old girl with SPTP. Symptomatology was acute, including compression syndrome and epigastralgias. Clinical examination showed a solid mass in the left hypochondrium. Scan showed mixed mass structure of the pancreas tail. Left splenopancreatectomy was performed. The diagnosis was confirmed by histological examination using immunohistochemistry. Long-term follow-up showed no recidivism. The study had a follow-up period of two and a half years. This study and literature review aimed to highlight the role of radiological examination in the diagnosis and underline the importance of radical surgery in the treatment of these tumors with a low degree of malignancy.