TY - JOUR
T1 - Synchronous solid pseudopapillary neoplasm of the pancreas with intrahepatic cholangiocarcinoma in a young male patient
T2 - An unusual deadly occurrence
AU - Khaba, Moshawa Calvin
AU - Kalenga, Nkomba Christopher
AU - Phetla, Ramatsimele Rebothile
AU - Mngomezulu, Victor
AU - Balabyeki, Moses Aschenaz
N1 - Publisher Copyright:
© 2021 The Authors
PY - 2021/5
Y1 - 2021/5
N2 - Introduction and importance: Solid pseudopapillary neoplasm of the pancreas (SPN) is a tumour with low malignant potential, albeit with good prognosis. Intrahepatic cholangiocarcinoma (iCCA) is a malignant and aggressive tumour with poor prognosis. Clinical presentation: We report a case of a 38 years old African male patient with abdominal pain for 5 years that worsened in the preceding 5 months. Radiology showed pancreatic and liver lesions which were thought to be malignant and benign, respectively. However, intra-operative and histopathological assessment confirmed SPN and iCCA which were contrary to radiological findings. Whilst surgery was uneventful, the patient died after 15 days. Clinical discussion: Whilst SPN is commonly seen in young females, it is rare in males and has been associated with aggressive behaviour. The prognosis is good, albeit the presence of metastasis. iCCA is rare in younger population notwithstanding the presence of risk factor. Combination of iCCA and SPT has not been described. Both these tumours do not share risk factors, pathogenesis or molecular alterations. Conclusion: The concomitant occurrence of these two pathologies in young male patient is unusual and preoperative diagnosis may be very difficult.
AB - Introduction and importance: Solid pseudopapillary neoplasm of the pancreas (SPN) is a tumour with low malignant potential, albeit with good prognosis. Intrahepatic cholangiocarcinoma (iCCA) is a malignant and aggressive tumour with poor prognosis. Clinical presentation: We report a case of a 38 years old African male patient with abdominal pain for 5 years that worsened in the preceding 5 months. Radiology showed pancreatic and liver lesions which were thought to be malignant and benign, respectively. However, intra-operative and histopathological assessment confirmed SPN and iCCA which were contrary to radiological findings. Whilst surgery was uneventful, the patient died after 15 days. Clinical discussion: Whilst SPN is commonly seen in young females, it is rare in males and has been associated with aggressive behaviour. The prognosis is good, albeit the presence of metastasis. iCCA is rare in younger population notwithstanding the presence of risk factor. Combination of iCCA and SPT has not been described. Both these tumours do not share risk factors, pathogenesis or molecular alterations. Conclusion: The concomitant occurrence of these two pathologies in young male patient is unusual and preoperative diagnosis may be very difficult.
KW - African
KW - Intrahepatic cholangiocarcinoma
KW - Male
KW - Solid pseudopapillary neoplasm
KW - Young
UR - http://www.scopus.com/inward/record.url?scp=85103650891&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2021.105841
DO - 10.1016/j.ijscr.2021.105841
M3 - Article
C2 - 33823339
AN - SCOPUS:85103650891
SN - 2210-2612
VL - 82
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
M1 - 105841
ER -