Solid and Papillary Epithelial Neoplasm of the Pancreas in Children.
- Author:
Seok Ho CHOI
1
;
Dae Yeon KIM
;
Kwi Won PARK
;
Sung Eun JUNG
;
Seong Cheol LEE
;
Woo Ki KIM
;
Ja Jun JANG
Author Information
1. Department of Surgery, Seoul National University Medical College, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Solid and papillary epithelial neoplasm of the pancreas;
Children
- MeSH:
Adult;
Child*;
Female;
Follow-Up Studies;
Head;
Humans;
Incidence;
Male;
Neoplasm Metastasis;
Neoplasms, Glandular and Epithelial*;
Pancreas*;
Pancreatectomy;
Pancreaticoduodenectomy;
Recurrence;
Retrospective Studies
- From:Journal of the Korean Association of Pediatric Surgeons
1998;4(1):55-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Six children with solid and papillary epithelial neoplasm of the pancreas were studied retrospective manner. There were 2 boys and 4 girls in this series. The mean age at operation was 11 years (range, 8 to 13 years). There were three incidental abdominal masses, two nontender abdominal masses and one tender abdominal mass. The size ranged from 6.5x6.0cm to 10.5x8.0cm. Five tumors were located in the head of pancreas, whereas one tumor was in the tail of pancreas. On exploration, all patients had no local invasion or metastasis. All patients underwent complete resection, which included three pylorus-preserving pancreaticoduodenectomy, two Whipple's operation and one distal pancreatectomy. All patients had the characteristic histologic pattern of a solid and papillary epithelial neoplasm of the pancreas. All patients are alive with a mean follow up of 5.0 years (range, 0.5 to 12.0 years) without recurrence. Compare to the adult, solid and papillary epithelial neoplasm of the pancreas in children had a slight higher incidence in male. We speculate that this tumor have the characteristic of low-grade malignancy. So complete resection is the treatment of choice for the neoplasm arising anywhere in the pancreas.
