case_images: PMC11102672_01
case_images: Coronal CT image showing rounded, well-limited lesion, appearing to be attached to the gastric wall which seems thickened. It has a double component cystic and tissular and it presents a few calcifications.
case_images: 10.1177_2050313X241255497-fig1.jpg
case_images: PMC11102672_01_10.1177_2050313X241255497-fig1.jpg
case_images: fig1-2050313X241255497
case_images: Abdominal computed tomography (CT) scan (Figure 1) showed a 104 x 77 x 44 mm rounded, well-limited lesion, appearing to be attached to the gastric wall which seems thickened.
case_images: During biopsy, ultrasound showed a circumscribed, encapsulated mass spreading to the gastric region with a mixed, heterogeneous echogenicity and calcifications.
case_images: 10.1177_2050313X241255497-fig2.jpg
case_images: PMC11102672_01_10.1177_2050313X241255497-fig2.jpg
case_images: fig2-2050313X241255497
case_images: Ultrasound-guided biopsy was performed (Figure 2), and pathological findings (Figure 3) revealed the existence of tumor cells organized around a vascular axis and presenting cytoplasm that was clear and also eosinophilic.
case_images: Microscopic images: (a) Section showing solid monomorphic polygonal cells with delicate vessels and a hyalinized or myxoid stroma and marked degenerative changes with pseudopapillae formation (x25) and (b) are showing nuclear expression of beta catenin (x25) (c) the tumor cells are positive for synaptophysin (x10) (d) and the progesterone receptor is strongly expressed (x10).
case_images: 10.1177_2050313X241255497-fig3.jpg
case_images: PMC11102672_01_10.1177_2050313X241255497-fig3.jpg
case_images: fig3-2050313X241255497
case_images: Ultrasound-guided biopsy was performed (Figure 2), and pathological findings (Figure 3) revealed the existence of tumor cells organized around a vascular axis and presenting cytoplasm that was clear and also eosinophilic.
case_images: Pancreatic MRI: (a) Axial T2-weighted section showing a well-limited, encapsulated mass in the tail of the pancreas, with a dual component: cystic in frank hypersignal and tissular in intermediate signal. (b) T1FS axial sections without and with gadolinium injection, showing enhancement of the fleshy portion of the mass.
case_images: 10.1177_2050313X241255497-fig4.jpg
case_images: PMC11102672_01_10.1177_2050313X241255497-fig4.jpg
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case_images: Operative view of the mass of the tail of the pancreas protruding into the transverse mesocolon. (a) Tumor mass (b) Body of the pancreas.
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case_images: PMC11102672_01_10.1177_2050313X241255497-fig5.jpg
case_images: fig5-2050313X241255497
case_images: A caudal pancreatectomy was performed removing the splenic artery and vein, with uneventful post operative course (Figures 5 and 6).
case_images: Macroscopic image of the surgical specimen. Macroscopic views showing: (a) A well-encapsulated mass (b) Variable amount of solid and cystic patterns with friable consistency in the middle.
case_images: 10.1177_2050313X241255497-fig6.jpg
case_images: PMC11102672_01_10.1177_2050313X241255497-fig6.jpg
case_images: fig6-2050313X241255497
case_images: A caudal pancreatectomy was performed removing the splenic artery and vein, with uneventful post operative course (Figures 5 and 6).