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Gastrointestinal
Diagnosis
Pancreas
Malignant Neoplasms
Pancreatic Solid and Pseudopapillary Neoplasm
Pancreatic Solid and Pseudopapillary Neoplasm
Siva P. Raman, MD
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        • Diagnostic Checklist

          TERMINOLOGY

          • Abbreviations

            • Solid and pseudopapillary neoplasm (SPEN)

          • Synonyms

            • Hamoudi tumor, Franz tumor
            • Papillary epithelial neoplasm, papillary cystic carcinoma, solid and cystic tumor of pancreas, Franz tumor, solid and papillary epithelial neoplasm

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Angiographic Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            Selected References

                                            1. Ozaki K et al: Pearls and pitfalls of imaging features of pancreatic cystic lesions: a case-based approach with imaging-pathologic correlation. Jpn J Radiol. 39(2):118142, 2021
                                            2. Gandhi D et al: Solid pseudopapillary tumor of the pancreas: radiological and surgical review. Clin Imaging. 67:101-17, 2020
                                            3. Kim JK et al: Management of solid pseudopapillary tumors of the pancreas: experience from a single institution. Am Surg. 86(2):e57-8, 2020
                                            4. Yang Z et al: Differential diagnosis of pancreatoblastoma (PB) and solid pseudopapillary neoplasms (SPNs) in children by CT and MR imaging. Eur Radiol. 31(4):2209-17, 2020
                                            5. De Robertis R et al: Solid pseudopapillary neoplasms of the pancreas: clinicopathologic and radiologic features according to size. AJR Am J Roentgenol. 213(5):1073-80, 2019
                                            6. Hu S et al: Asymptomatic versus symptomatic solid pseudopapillary tumors of the pancreas: clinical and MDCT manifestations. Cancer Imaging. 19(1):13, 2019
                                            7. Shi S et al: Clinical manifestations and multi-slice computed tomography characteristics of solid pseudopapillary neoplasms of the pancreas between males and females. BMC Med Imaging. 19(1):87, 2019
                                            8. Wang J et al: Differentiation of aggressive from non-aggressive pancreatic solid pseudopapillary neoplasms using computed tomography. Abdom Radiol (NY). 44(7):2448-58, 2019
                                            9. Chae SH et al: Magnetic resonance imaging spectrum of solid pseudopapillary neoplasm of the pancreas. J Comput Assist Tomogr. 38(2):249-57, 2014
                                            10. Guerrache Y et al: Solid-pseudopapillary tumor of the pancreas: MR imaging findings in 21 patients. Clin Imaging. 38(4):475-82, 2014
                                            11. Law JK et al: A systematic review of solid-pseudopapillary neoplasms: are these rare lesions? Pancreas. 43(3):331-7, 2014
                                            12. Dong A et al: FDG PET/CT findings of solid pseudopapillary tumor of the pancreas with CT and MRI correlation. Clin Nucl Med. 38(3):e118-24, 2013
                                            13. Raman SP et al: Institutional experience with solid pseudopapillary neoplasms: focus on computed tomography, magnetic resonance imaging, conventional ultrasound, endoscopic ultrasound, and predictors of aggressive histology. J Comput Assist Tomogr. 37(5):824-33, 2013
                                            14. Yin Q et al: Differentiation between benign and malignant solid pseudopapillary tumor of the pancreas by MDCT. Eur J Radiol. 81(11):3010-8, 2012
                                            15. Reddy S et al: Surgical management of solid-pseudopapillary neoplasms of the pancreas (Franz or Hamoudi tumors): a large single-institutional series. J Am Coll Surg. 208(5):950-7; discussion 957-9, 2009
                                            16. Wang DB et al: Imaging features of solid pseudopapillary tumor of the pancreas on multi-detector row computed tomography. World J Gastroenterol. 15(7):829-35, 2009
                                            17. Garcea G et al: Cystic lesions of the pancreas. A diagnostic and management dilemma. Pancreatology. 8(3):236-51, 2008
                                            18. Kim YH et al: Imaging diagnosis of cystic pancreatic lesions: pseudocyst versus nonpseudocyst. Radiographics. 25(3):671-85, 2005
                                            19. Madan AK et al: Solid and papillary epithelial neoplasm of the pancreas. J Surg Oncol. 85(4):193-8, 2004
                                            20. Buetow PC et al: Solid and papillary epithelial neoplasm of the pancreas: imaging-pathologic correlation on 56 cases. Radiology. 199(3):707-11, 1996
                                            21. Choi BI et al: Solid and papillary epithelial neoplasms of the pancreas: CT findings. Radiology. 166(2):413-6, 1988
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Imaging

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Solid and pseudopapillary neoplasm (SPEN)

                                                    • Synonyms

                                                      • Hamoudi tumor, Franz tumor
                                                      • Papillary epithelial neoplasm, papillary cystic carcinoma, solid and cystic tumor of pancreas, Franz tumor, solid and papillary epithelial neoplasm

                                                    IMAGING

                                                    • General Features

                                                      • CT Findings

                                                        • MR Findings

                                                          • Ultrasonographic Findings

                                                            • Angiographic Findings

                                                              • Nuclear Medicine Findings

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Staging, Grading, & Classification

                                                                        • Gross Pathologic & Surgical Features

                                                                          • Microscopic Features

                                                                            CLINICAL ISSUES

                                                                            • Presentation

                                                                              • Demographics

                                                                                • Natural History & Prognosis

                                                                                  • Treatment

                                                                                    DIAGNOSTIC CHECKLIST

                                                                                    • Consider

                                                                                      Selected References

                                                                                      1. Ozaki K et al: Pearls and pitfalls of imaging features of pancreatic cystic lesions: a case-based approach with imaging-pathologic correlation. Jpn J Radiol. 39(2):118142, 2021
                                                                                      2. Gandhi D et al: Solid pseudopapillary tumor of the pancreas: radiological and surgical review. Clin Imaging. 67:101-17, 2020
                                                                                      3. Kim JK et al: Management of solid pseudopapillary tumors of the pancreas: experience from a single institution. Am Surg. 86(2):e57-8, 2020
                                                                                      4. Yang Z et al: Differential diagnosis of pancreatoblastoma (PB) and solid pseudopapillary neoplasms (SPNs) in children by CT and MR imaging. Eur Radiol. 31(4):2209-17, 2020
                                                                                      5. De Robertis R et al: Solid pseudopapillary neoplasms of the pancreas: clinicopathologic and radiologic features according to size. AJR Am J Roentgenol. 213(5):1073-80, 2019
                                                                                      6. Hu S et al: Asymptomatic versus symptomatic solid pseudopapillary tumors of the pancreas: clinical and MDCT manifestations. Cancer Imaging. 19(1):13, 2019
                                                                                      7. Shi S et al: Clinical manifestations and multi-slice computed tomography characteristics of solid pseudopapillary neoplasms of the pancreas between males and females. BMC Med Imaging. 19(1):87, 2019
                                                                                      8. Wang J et al: Differentiation of aggressive from non-aggressive pancreatic solid pseudopapillary neoplasms using computed tomography. Abdom Radiol (NY). 44(7):2448-58, 2019
                                                                                      9. Chae SH et al: Magnetic resonance imaging spectrum of solid pseudopapillary neoplasm of the pancreas. J Comput Assist Tomogr. 38(2):249-57, 2014
                                                                                      10. Guerrache Y et al: Solid-pseudopapillary tumor of the pancreas: MR imaging findings in 21 patients. Clin Imaging. 38(4):475-82, 2014
                                                                                      11. Law JK et al: A systematic review of solid-pseudopapillary neoplasms: are these rare lesions? Pancreas. 43(3):331-7, 2014
                                                                                      12. Dong A et al: FDG PET/CT findings of solid pseudopapillary tumor of the pancreas with CT and MRI correlation. Clin Nucl Med. 38(3):e118-24, 2013
                                                                                      13. Raman SP et al: Institutional experience with solid pseudopapillary neoplasms: focus on computed tomography, magnetic resonance imaging, conventional ultrasound, endoscopic ultrasound, and predictors of aggressive histology. J Comput Assist Tomogr. 37(5):824-33, 2013
                                                                                      14. Yin Q et al: Differentiation between benign and malignant solid pseudopapillary tumor of the pancreas by MDCT. Eur J Radiol. 81(11):3010-8, 2012
                                                                                      15. Reddy S et al: Surgical management of solid-pseudopapillary neoplasms of the pancreas (Franz or Hamoudi tumors): a large single-institutional series. J Am Coll Surg. 208(5):950-7; discussion 957-9, 2009
                                                                                      16. Wang DB et al: Imaging features of solid pseudopapillary tumor of the pancreas on multi-detector row computed tomography. World J Gastroenterol. 15(7):829-35, 2009
                                                                                      17. Garcea G et al: Cystic lesions of the pancreas. A diagnostic and management dilemma. Pancreatology. 8(3):236-51, 2008
                                                                                      18. Kim YH et al: Imaging diagnosis of cystic pancreatic lesions: pseudocyst versus nonpseudocyst. Radiographics. 25(3):671-85, 2005
                                                                                      19. Madan AK et al: Solid and papillary epithelial neoplasm of the pancreas. J Surg Oncol. 85(4):193-8, 2004
                                                                                      20. Buetow PC et al: Solid and papillary epithelial neoplasm of the pancreas: imaging-pathologic correlation on 56 cases. Radiology. 199(3):707-11, 1996
                                                                                      21. Choi BI et al: Solid and papillary epithelial neoplasms of the pancreas: CT findings. Radiology. 166(2):413-6, 1988