Pancreatic imaging: solid pseudopapillary neoplasm: practice question

A Radiology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Radiology · Pancreatic imaging: solid pseudopapillary neoplasm

Sample item

A 22-year-old woman has an abdominal mass. CT shows a large, well-encapsulated pancreatic tail tumour with solid and cystic components and haemorrhage and no ductal dilatation. What is the likely diagnosis?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Solid pseudopapillary neoplasm

This low-grade tumour occurs in young women, forms large encapsulated masses with mixed solid and cystic areas and haemorrhage, and has an excellent prognosis after resection. It does not cause ductal obstruction.

Option by option

  • A. Pancreatic ductal adenocarcinoma

    Adenocarcinoma is infiltrating with ductal obstruction in older patients.

  • B. Solid pseudopapillary neoplasm (correct)

    Correct. A young woman with a large mixed solid-cystic pancreatic mass fits the neoplasm.

  • C. Chronic pancreatitis

    Chronic pancreatitis shows calcification and ductal dilatation.

  • D. Serous cystadenoma

    Serous cystadenoma is a microcystic lesion with a central scar.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Radiology question

What is the answer to this Radiology question?

The best answer is B, Solid pseudopapillary neoplasm. This low-grade tumour occurs in young women, forms large encapsulated masses with mixed solid and cystic areas and haemorrhage, and has an excellent prognosis after resection.

Why is "Pancreatic ductal adenocarcinoma" not the answer?

Adenocarcinoma is infiltrating with ductal obstruction in older patients.

Why is "Chronic pancreatitis" not the answer?

Chronic pancreatitis shows calcification and ductal dilatation.

Why is "Serous cystadenoma" not the answer?

Serous cystadenoma is a microcystic lesion with a central scar.

What concept does this question test?

It tests Pancreatic imaging: solid pseudopapillary neoplasm in Radiology. It does not cause ductal obstruction.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Pancreatic imaging: solid pseudopapillary neoplasm?

Learn signs with the image, and the disease they point to. Then use the flashcards and the other Radiology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.