14-04-2025
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
### Restructured Case Report: 24F with Pancreatic Solid Pseudopapillary Neoplasm (SPN) and Severe Anemia
---#### *Summary*
A 24-year-old female presented with progressive abdominal distension, syncope, and severe anemia (Hb 4.5 g/dL). Imaging revealed a retroperitoneal mass adjacent to the pancreatic head/body, initially diagnosed as a solid pseudopapillary neoplasm (SPN) via EUS-guided biopsy. The tumor grew from 34×44 mm (2021) to 55×61 mm (2025), prompting multidisciplinary debate about surgical intervention. Despite histopathological confirmation of SPN, immunohistochemistry (IHC) was deferred. The patient’s anemia resolved post-transfusion, but tumor growth and potential malignancy risks led to a recommendation for surgical resection. Financial constraints necessitated referral to a tertiary center (MNJ Hospital, Hyderabad) for cost-effective management.
