The patient is a 45-year-old woman with increased abdominal girth and anorexia. She presented a palpable, mobile mass that occupied the entire abdomen. CT scan showed a cyst-like mass with papillae, calcifications and solid nodules that was compressing the stomach and duodenum and caudally displaced the transverse colon. The mass measured 23 × 12 × 13 cm (Fig. 1) and was compatible with solid pseudopapillary tumor of the pancreas (Fig. 2). We performed distal pancreatosplenectomy.
Pseudopapillary tumors are a rare neoplasm of the pancreas (1%–3%). They are considered benign, although 10%–15% are malignant. There are no predictive criteria for their evolution. The treatment of choice is surgical resection, although it may require chemo-radiotherapy.
Please cite this article as: López Loscos E, Bellver Oliver M, Granel Villach L, Moya Herráiz Á. Tumor de Frantz gigante. Cir Esp. 2021;99:759.
