Solid and Papillary Epithelial Neoplasm of the Pancreas in Children.
- Author:
Hyukjin YOON
1
;
Jinyoung PARK
Author Information
1. Department of Surgery, School of Medicine, Kyungpook National University, Taegu, Korea. kpnugs@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Solid and papillary epithelial neoplasm;
Pancreas;
Children;
Chemotherapy
- MeSH:
Chemotherapy, Adjuvant;
Child*;
Drug Therapy;
Female;
Follow-Up Studies;
Hemoperitoneum;
Humans;
Liver;
Nausea;
Neoplasm Metastasis;
Neoplasms, Glandular and Epithelial*;
Pancreas*;
Pancreatectomy;
Recurrence;
Rupture;
Splenectomy;
Venous Thrombosis;
Vomiting
- From:Journal of the Korean Association of Pediatric Surgeons
2006;12(1):32-40
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Four children with solid and papillary epithelial neoplasm of the pancreas are reported. Three were girls. Mean age at operation was 12 years and 7 months (10-13 years). Clinical presentation included nausea, vomiting, and apalpable mass. One had hemoperitoneum due to tumor rupture. In two cases, tumors were in the body of the pancreas, and one the body and tail, and in one,the tail. Mean diameter of the tumors was 10.8 cm (8-15cm). Surgical procedures were distal pancreatectomy and splenectomy in 2 cases, distal pancreatectomy in one, and subtotal pancreatectomy and splenectomy in one. Mean follow-up period was 61 months (6-121 months). Three patients are still alive without any recurrence. However, in the one case of ruptured tumor, portal vein thrombosis and liver metastasis developed after subtotal pancreatectomy and splenectomy during the course of postoperative adjuvant chemotherapy.
