J Korean Assoc Pediatr Surg.  2006 Jun;12(1):32-40.

Solid and Papillary Epithelial Neoplasm of the Pancreas in Children

• Yoon H
• Park J

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.

Keyword

Solid and papillary epithelial neoplasm; Pancreas; Children; Chemotherapy

MeSH Terms

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