Journal of Cytology
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CASE REPORTS
Year : 1995  |  Volume : 12  |  Issue : 1  |  Page : 52-57

Solid and papillary epithelial neoplasm of pancreas -- A case report with role of fine needle aspiration cytology in diagnosis, with special emphasis on stromal changes


Cytopathology Laboratory, Department of Pathology, All India Institute of Medical Sciences New Delhi - 110 029, India

Correspondence Address:
Kusum Verma
Professor & Head, Department of Pathology, AIIMS, Ansari Nagar, New Delhi-110 029.
India
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Source of Support: None, Conflict of Interest: None


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Solid and Papillary epithelial neoplasm (SPENP) of pancreas is a rare malignant lesion of pancreas occuring more commonly in the second and third decades, generally in the body and tail of pancreas and has a favourable outcome following surgical resection. We report one such case in a 8 year old girl who presented with a relatively freely mobile mass in the right hypochondrium and not associated with jaundice. On ultrasound and MRI scans, this retroperitoneal mass was not seen in relation to any organ. Despite her unusual age, location, ambiguous clinical and radiological features, the pre-operative diagnosis was made on FNA alone. The diagnosis was based on the presence of papillary, papillary-micro-acinar and acinar fragments showing monomorphic small cells with round to oval nuclei with fine chromatin, cytoplasmic vacuolations and inclusions with characteristic stromal changes.


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