{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T06:42:40Z","timestamp":1792651360663,"version":"4.5.0"},"reference-count":76,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T00:00:00Z","timestamp":1678665600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Solid pseudopapillary neoplasm (SPN) is rare pancreatic tumor occurring most commonly in young females. The typical imaging appearance of SPN is of well-defined, encapsulated, and large heterogeneous tumors, consisting of solid and cystic components due to various degrees of intralesional hemorrhage and necrosis. However, atypical imaging presentation in the form of small solid tumors or uniformly cystic lesions might also be seen, which can be explained by specific pathological characteristics. Other imaging features such as a round shape, the absence of main pancreatic duct dilatation, and slow growth, in combination with vague symptoms, favor the diagnosis of SPNs. Nevertheless, the radiological findings of SPN might overlap with other solid and cystic pancreatic neoplasms, such as neuroendocrine tumors, serous and mucinous neoplasms, and even small pancreatic adenocarcinomas. In addition, a few benign non-tumorous conditions including walled-of-necrosis, and intrapancreatic accessory spleen may also pose diagnostic dilemmas simulating SPNs on imaging studies. The aim of this manuscript is to provide a comprehensive overview of the typical and atypical imaging features of SPNs and to describe useful tips for differential diagnosis with its potential mimickers.<\/jats:p>","DOI":"10.3390\/diagnostics13061074","type":"journal-article","created":{"date-parts":[[2023,3,14]],"date-time":"2023-03-14T02:33:36Z","timestamp":1678761216000},"page":"1074","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["The Role of MRI in the Diagnosis of Solid Pseudopapillary Neoplasm of the Pancreas and Its Mimickers: A Case-Based Review with Emphasis on Differential Diagnosis"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4826-0218","authenticated-orcid":false,"given":"Jelena Djokic","family":"Kovac","sequence":"first","affiliation":[{"name":"Center for Radiology and Magnetic Resonance Imaging, University Clinical Centre of Serbia, Pasterova No. 2, 11000 Belgrade, Serbia"},{"name":"Faculty of Medicine, University of Belgrade, Dr Subotica No. 8, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandra","family":"Djikic-Rom","sequence":"additional","affiliation":[{"name":"Departament of Pathology, Clinic for Digestive Surgery, University Clinical Centre of Serbia, Pasterova No. 2, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6790-7892","authenticated-orcid":false,"given":"Aleksandar","family":"Bogdanovic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Belgrade, Dr Subotica No. 8, 11000 Belgrade, Serbia"},{"name":"Clinic for Digestive Surgery, University Clinical Centre of Serbia, Koste Todorovica Street, No. 6, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleksandra","family":"Jankovic","sequence":"additional","affiliation":[{"name":"Center for Radiology and Magnetic Resonance Imaging, University Clinical Centre of Serbia, Pasterova No. 2, 11000 Belgrade, Serbia"},{"name":"Faculty of Medicine, University of Belgrade, Dr Subotica No. 8, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikica","family":"Grubor","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Belgrade, Dr Subotica No. 8, 11000 Belgrade, Serbia"},{"name":"Clinic for Digestive Surgery, University Clinical Centre of Serbia, Koste Todorovica Street, No. 6, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8066-5701","authenticated-orcid":false,"given":"Goran","family":"Djuricic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Belgrade, Dr Subotica No. 8, 11000 Belgrade, Serbia"},{"name":"Departament for Radiology, University Children\u2019s Clinic, Tir\u0161ova Street, No. 10, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimir","family":"Dugalic","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Belgrade, Dr Subotica No. 8, 11000 Belgrade, Serbia"},{"name":"Clinic for Digestive Surgery, University Clinical Centre of Serbia, Koste Todorovica Street, No. 6, 11000 Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.jamcollsurg.2005.02.011","article-title":"Solid pseudopapillary tumors of the pancreas: Review of 718 patients reported in English literature","volume":"200","author":"Papavramidis","year":"2005","journal-title":"J. Am. Coll. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1007\/s00261-013-0015-7","article-title":"Solid pseudo-papillary tumors of the pancreas: Current update","volume":"38","author":"Ganeshan","year":"2013","journal-title":"Abdom. Imaging"},{"key":"ref_3","unstructured":"Bosman, F.T., Carnerio, F., Hruban, R.H., and Theise, N.D. (2010). World Health Organization Classification of Tumors of the Digestive System, WHO Press. [4th ed.]."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Kloppel, G., Solcia, E., Longnecker, D.S., Capella, C., and Sobin, L.H. (1996). World Health Organization: Institutional Histological Classifications of Tumors\u2014Histological Typing of Tumours of Exoxrine Pancreas, Springer Verlag. [2nd ed.].","DOI":"10.1007\/978-3-642-61024-0"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.surg.2007.07.030","article-title":"Solid pseudopapillary neoplasm of the pancreas: Distinct patterns of onset, diagnosis, and prognosis for male versus female patients","volume":"143","author":"Machado","year":"2008","journal-title":"Surgery"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.2214\/AJR.18.20715","article-title":"Solid Pseudopapillary Neoplasms of the Pancreas: Clinicopathologic and Radiologic Features According to Size","volume":"213","author":"Marchegiani","year":"2019","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/PAP.0b013e31815e5237","article-title":"Solid pseudopapillary tumor of the pancreas: A review of salient clinical and pathologic features","volume":"15","author":"Adams","year":"2008","journal-title":"Adv. Anat. Pathol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"722","DOI":"10.4321\/S1130-01082010001200009","article-title":"Solid pseudopapillary tumor of the pancreas (SPPT). Still an unsolved enigma","volume":"102","author":"Cienfuegos","year":"2010","journal-title":"Rev. Esp. Enferm. Dig."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S1470-2045(03)01038-6","article-title":"Solid pseudopapillary tumour of the pancreas","volume":"4","author":"Canzonieri","year":"2003","journal-title":"Lancet Oncol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1007\/s004280050475","article-title":"Solid-pseudopapillary tumor of the pancreas: Its origin revisited","volume":"436","author":"Kosmahl","year":"2000","journal-title":"Virchows Arch."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"94","DOI":"10.5152\/dir.2016.16104","article-title":"Solid pseudopapillary neoplasm of the pancreas: CT imaging features and radiologic-pathologic correlation","volume":"23","author":"Anil","year":"2017","journal-title":"Diagn. Interv. Radiol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1007\/s11605-007-0348-z","article-title":"Cystic neoplasia of the pancreas: Pathology and biology","volume":"12","author":"Adsay","year":"2008","journal-title":"J. Gastrointest. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"896","DOI":"10.4254\/wjh.v13.i8.896","article-title":"Solid pseudopapillary neoplasm of the pancreas","volume":"13","author":"Omiyale","year":"2021","journal-title":"World J. Hepatol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.1148\/rg.236035006","article-title":"Solid-pseudopapillary tumor of the pancreas","volume":"23","author":"Coleman","year":"2003","journal-title":"Radiographics"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"71","DOI":"10.4103\/eus.eus_4_20","article-title":"The role of EUS-FNA in the evaluation of pancreatic cystic lesions","volume":"9","author":"Koo","year":"2020","journal-title":"Endosc. Ultrasound"},{"key":"ref_16","first-page":"66","article-title":"Solid-pseudopapillary tumor of the pancreas: A typically cystic carcinoma of low malignant potential","volume":"17","author":"Klimstra","year":"2000","journal-title":"Semin. Diagn. Pathol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1016\/j.pan.2019.07.001","article-title":"Management of solid pseudopapillary neoplasms of pancreas: A single center experience of 243 consecutive patients","volume":"19","author":"Liu","year":"2019","journal-title":"Pancreatology"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1148\/rg.264065012","article-title":"Pancreatic tumors in children: Radiologic-pathologic correlation","volume":"26","author":"Chung","year":"2006","journal-title":"Radiographics"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1016\/j.crad.2008.04.007","article-title":"Solid pseudopapillary carcinoma of the pancreas: Differentiation from benign solid pseudopapillary tumour using CT and MRI","volume":"63","author":"Lee","year":"2008","journal-title":"Clin. Radiol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1007\/s00261-014-0169-y","article-title":"MRI features of solid pseudopapillary neoplasm of the pancreas","volume":"39","author":"Ventriglia","year":"2014","journal-title":"Abdom. Imaging"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1097\/01.rct.0000445639.26581.65","article-title":"Magnetic resonance imaging spectrum of solid pseudopapillary neoplasm of the pancreas","volume":"38","author":"Chae","year":"2014","journal-title":"J. Comput. Assist. Tomogr."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.clinimag.2014.01.015","article-title":"Solid-pseudopapillary tumor of the pancreas: MR imaging findings in 21 patients","volume":"38","author":"Guerrache","year":"2014","journal-title":"Clin. Imaging"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1148\/radiology.199.3.8637992","article-title":"Solid and papillary epithelial neoplasm of the pancreas: Imaging-pathologic correlation on 56 cases","volume":"199","author":"Buetow","year":"1996","journal-title":"Radiology"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1097\/MPA.0b013e3181bd6839","article-title":"Solid pseudopapillary tumor of the pancreas: Cross-sectional imaging and pathologic correlation","volume":"39","author":"Yao","year":"2010","journal-title":"Pancreas"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"W178","DOI":"10.2214\/AJR.05.0569","article-title":"Solid pseudopapillary tumor of the pancreas: Typical and atypical manifestations","volume":"187","author":"Choi","year":"2006","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1148\/radiology.184.2.1620866","article-title":"Solid and papillary epithelial neoplasm of the pancreas: MR imaging and pathologic correlation","volume":"184","author":"Ohtomo","year":"1992","journal-title":"Radiology"},{"key":"ref_27","first-page":"131","article-title":"Solid-papillary tumors of the pancreas: Histopathology","volume":"7","author":"Santini","year":"2006","journal-title":"JOP"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/MPA.0000000000000061","article-title":"A systematic review of solid-pseudopapillary neoplasms: Are these rare lesions?","volume":"43","author":"Law","year":"2014","journal-title":"Pancreas"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/j.clon.2004.11.015","article-title":"Metastatic solid-pseudopapillary tumour of the pancreas: Clinico-biological correlates and management","volume":"17","author":"Alexandrescu","year":"2005","journal-title":"Clin. Oncol. (R Coll Radiol.)"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1002\/1097-0142(19930101)71:1<82::AID-CNCR2820710114>3.0.CO;2-Y","article-title":"Papillary cystic tumors of the pancreas. Assessment of their malignant potential","volume":"71","author":"Nishihara","year":"1993","journal-title":"Cancer"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1097\/RCT.0b013e31818f2a74","article-title":"Differentiation of benign and malignant solid pseudopapillary neoplasms of the pancreas","volume":"33","author":"Chung","year":"2009","journal-title":"J. Comput. Assist. Tomogr."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1016\/j.diii.2016.07.013","article-title":"Imaging features of rare pancreatic tumors","volume":"97","author":"Barral","year":"2016","journal-title":"Diagn. Interv. Imaging"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.amjsurg.2008.07.062","article-title":"Solid pseudopapillary tumor of the pancreas: A case series of 26 consecutive patients","volume":"198","author":"Yang","year":"2009","journal-title":"Am. J. Surg."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"792","DOI":"10.1111\/j.1440-1827.2005.01908.x","article-title":"Solid pseudopapillary tumor of the pancreas with metastases to the lung and liver","volume":"55","author":"Takahashi","year":"2005","journal-title":"Pathol. Int."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1159\/000085285","article-title":"Successful treatment of solid-pseudopapillary tumor of the pancreas with multiple liver metastases","volume":"5","author":"Hassan","year":"2005","journal-title":"Pancreatology"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1007\/s00261-001-0158-9","article-title":"Solid and papillary epithelial neoplasm of the pancreas with peritoneal metastasis and its recurrence: A case report","volume":"28","author":"Lee","year":"2003","journal-title":"Abdom. Imaging"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1245\/aso.2002.9.1.35","article-title":"Solid-pseudopapillary tumor of the pancreas: A surgical enigma?","volume":"9","author":"Martin","year":"2002","journal-title":"Ann. Surg. Oncol."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1811","DOI":"10.3748\/wjg.v13.i12.1811","article-title":"Clinicopathological study of solid and pseudopapillary tumor of pancreas: Emphasis on magnetic resonance imaging findings","volume":"13","author":"Yu","year":"2007","journal-title":"World J. Gastroenterol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.2214\/AJR.10.4452","article-title":"MR imaging features of small solid pseudopapillary tumors: Retrospective differentiation from other small solid pancreatic tumors","volume":"195","author":"Yu","year":"2010","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1002\/bjs.5334","article-title":"Malignant potential of solid pseudopapillary neoplasm of the pancreas","volume":"93","author":"Tipton","year":"2006","journal-title":"Br. J. Surg."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.7150\/jca.24491","article-title":"Risk Factors of the Recurrences of Pancreatic Solid Pseudopapillary Tumors: A Systematic Review and Meta-analysis","volume":"9","author":"Gao","year":"2018","journal-title":"J. Cancer"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"2015","DOI":"10.1245\/s10434-017-5772-z","article-title":"Analysis of 340 Patients with Solid Pseudopapillary Tumors of the Pancreas: A Closer Look at Patients with Metastatic Disease","volume":"24","author":"Jutric","year":"2017","journal-title":"Ann. Surg. Oncol"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1148\/radiol.10092089","article-title":"Small (\u22643 cm) Solid Pseudopapillary Tumors of the Pancreas at Multiphasic Multidetector CT","volume":"257","author":"Baek","year":"2010","journal-title":"Radiology"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"361","DOI":"10.4329\/wjr.v7.i11.361","article-title":"Role of magnetic resonance imaging in the detection and characterization of solid pancreatic nodules: An update","volume":"7","author":"Ansari","year":"2015","journal-title":"World J. Radiol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1148\/radiographics.17.2.9084072","article-title":"Pancreatic neoplasms: MR imaging and pathologic correlation","volume":"17","author":"Mergo","year":"1997","journal-title":"Radiographics"},{"key":"ref_46","first-page":"239","article-title":"Imaging features of pancreatic neoplasms","volume":"84","author":"Ros","year":"2001","journal-title":"JBR-BTR"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1097\/MOG.0000000000000571","article-title":"Pancreatic neuroendocrine tumors","volume":"35","author":"Perri","year":"2019","journal-title":"Curr. Opin. Gastroenterol."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1080\/14737140.2018.1496822","article-title":"Imaging of pancreatic neuroendocrine tumors: Recent advances, current status, and controversies","volume":"18","author":"Lee","year":"2018","journal-title":"Expert Rev. Anticancer Ther."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"7864","DOI":"10.3748\/wjg.v20.i24.7864","article-title":"Imaging diagnosis of pancreatic cancer: A state-of-the-art review","volume":"20","author":"Lee","year":"2014","journal-title":"World J. Gastroenterol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"4846","DOI":"10.3748\/wjg.v24.i43.4846","article-title":"Pancreatic cancer: A review of clinical diagnosis, epidemiology, treatment and outcomes","volume":"24","author":"McGuigan","year":"2018","journal-title":"World J. Gastroenterol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1007\/s00261-017-1380-4","article-title":"Pancreatic adenocarcinoma: Cross-sectional imaging techniques","volume":"43","author":"Kulkarni","year":"2018","journal-title":"Abdom. Radiol. (NY)"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1148\/radiol.11101133","article-title":"Small (\u226420 mm) pancreatic adenocarcinomas: Analysis of enhancement patterns and secondary signs with multiphasic multidetector CT","volume":"259","author":"Yoon","year":"2011","journal-title":"Radiology"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"11382","DOI":"10.12998\/wjcc.v9.i36.11382","article-title":"Solid pseudopapillary neoplasm of the pancreas in a young male with main pancreatic duct dilatation: A case report","volume":"9","author":"Nakashima","year":"2021","journal-title":"World J. Clin. Cases"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.clinimag.2017.10.006","article-title":"Solid pseudopapillary tumor of the pancreas: Clinical features and imaging findings","volume":"48","author":"Li","year":"2018","journal-title":"Clin. Imaging"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1097\/00004728-200007000-00021","article-title":"Mesenchymal tumors of the pancreas: CT findings","volume":"24","author":"Ferrozzi","year":"2000","journal-title":"J. Comput. Assist. Tomogr."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1016\/j.mri.2008.02.008","article-title":"Gadolinium- and superparamagnetic-iron-oxide-enhanced MR findings of intrapancreatic accessory spleen in five patients","volume":"26","author":"Altun","year":"2008","journal-title":"Magn. Reson. Imaging"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1148\/radiol.12112765","article-title":"Differentiation of an intrapancreatic accessory spleen from a small (<3-cm) solid pancreatic tumor: Value of diffusion-weighted MR imaging","volume":"I","author":"Jang","year":"2013","journal-title":"Radiology"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"162","DOI":"10.3348\/kjr.2008.9.2.162","article-title":"Intrapancreatic accessory spleen: Findings on MR Imaging, CT, US and scintigraphy, and the pathologic analysis","volume":"9","author":"Kim","year":"2008","journal-title":"Korean J. Radiol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.1259\/bjr.71.851.10434919","article-title":"Metastases to the pancreas","volume":"71","author":"Merkle","year":"1998","journal-title":"Br. J. Radiol."},{"key":"ref_60","first-page":"45","article-title":"Pancreatic metastases: CT and MRI findings","volume":"16","author":"Tsitouridis","year":"2010","journal-title":"Diagn. Interv. Radiol."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1148\/radiographics.18.2.9536484","article-title":"CT characteristics of metastatic disease of the pancreas","volume":"18","author":"Klein","year":"1998","journal-title":"Radiographics"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1148\/radiol.11102475","article-title":"Pancreatic metastases can have radiologic characteristics similar to small solid pseudopapillary tumors","volume":"259","author":"Liang","year":"2011","journal-title":"Radiology"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1148\/rg.256045161","article-title":"Cystic pancreatic lesions: A simple imaging-based classification system for guiding management","volume":"25","author":"Sahani","year":"2005","journal-title":"Radiographics"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1148\/rg.296095506","article-title":"MR imaging of cystic lesions of the pancreas","volume":"29","author":"Kalb","year":"2009","journal-title":"Radiographics"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1007\/s00261-004-0286-0","article-title":"Solid serous cystadenoma of the pancreas: MR imaging with pathologic correlation","volume":"30","author":"Gabata","year":"2005","journal-title":"Abdom. Imaging"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1102\/1470-7330.2006.0012","article-title":"Cystic tumors of the pancreas","volume":"6","author":"Morana","year":"2006","journal-title":"Cancer Imaging"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.diii.2016.08.005","article-title":"The many faces of pancreatic serous cystadenoma: Radiologic and pathologic correlation","volume":"98","author":"Chu","year":"2017","journal-title":"Diagn. Interv. Imaging"},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1007\/s11604-020-01032-1","article-title":"Pearls and pitfalls of imaging features of pancreatic cystic lesions: A case-based approach with imaging-pathologic correlation","volume":"39","author":"Ozaki","year":"2021","journal-title":"Jpn. J. Radiol."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1111\/j.1365-2559.2007.02856.x","article-title":"Cystic neoplasms of the exocrine pancreas","volume":"52","author":"Campbell","year":"2008","journal-title":"Histopathology"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1080\/17474124.2019.1574568","article-title":"An overview of walled-off pancreatic necrosis for clinicians","volume":"13","author":"Rana","year":"2019","journal-title":"Expert Rev. Gastroenterol. Hepatol."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1007\/s00261-019-02141-w","article-title":"MRI in acute pancreatitis","volume":"45","author":"Sandrasegaran","year":"2020","journal-title":"Abdom. Radiol."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1177\/000313480206800716","article-title":"Solid-pseudopapillary tumor of the pancreas masquerading as a pancreatic pseudocyst","volume":"68","author":"Patel","year":"2002","journal-title":"Am. Surg."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"W283","DOI":"10.2214\/AJR.12.8941","article-title":"Pancreatic neuroendocrine tumor with cystlike changes: Evaluation with MDCT","volume":"200","author":"Kawamoto","year":"2013","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1007\/s00261-013-0048-y","article-title":"Magnetic resonance imaging of cystic pancreatic lesions in adults: An update in current diagnostic features and management","volume":"39","author":"Barral","year":"2014","journal-title":"Abdom. Imaging"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1097\/00000478-200106000-00006","article-title":"Cystic endocrine tumors of the pancreas: Clinical, radiologic, and histopathologic features in 13 cases","volume":"25","author":"Ligneau","year":"2001","journal-title":"Am. J. Surg. Pathol."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"8596","DOI":"10.3748\/wjg.v22.i38.8596","article-title":"Pancreatic neuroendocrine tumor and solid-pseudopapillary neoplasm: Key immunohistochemical profiles for differential diagnosis","volume":"22","author":"Ohara","year":"2016","journal-title":"World J. Gastroenterol."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/6\/1074\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:53:49Z","timestamp":1760122429000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/6\/1074"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,13]]},"references-count":76,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2023,3]]}},"alternative-id":["diagnostics13061074"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics13061074","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,13]]}}}