PMC5138469_01
Axial view of abdominal CT scan with a hypodense mass in the liver measuring 50*55 mm in size.
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fig1
Imaging revealed scattered soft tissue masses throughout the abdominal mesentery as well as multiple hypodense, heterogeneously enhancing lesions within the liver (Figure 1), consistent with metastases and similar to her imaging findings at diagnosis.
Pathology of solid pseudopapillary tumor of the pancreas H and E stain and B-catenin stain with the prominent nuclear staining.
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fig2
US-guided biopsy of the liver confirmed the diagnosis of metastatic SPTP, staining positively for vimentin, CD10, and neuron-specific enolases (Figure 2).