Unraveling the enigma: A comprehensive review of solid pseudopapillary tumor of the pancreas

Figure 4 Aggressive type of liver metastasis from solid pseudopapillary tumor of the pancreas. A 55-year-old woman, who underwent surgery for solid pseudopapillary tumor of the pancreas 6 years ago, presented with incidental detection of abdominal masses after abdominal blunt trauma due to an accidental fall. Computed tomography scan showed multiple heterogeneously enhancing masses with extensive central necrosis fused in the right liver, with a size of 26 cm × 17 cm. A-C: A retroperitoneal mass (A, asterisk) invading the superior mesenteric vein (SMV) was detected, with presence of collateral circulation, and tumor thrombi filling the SMV (B, arrowheads) and inferior vena cava (C, arrow).