Solid and Papillary Epithelial Neoplasm of the Pancreas in Children

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= Abstract =

Solid and Papillary Epithelial Neoplasm of the Pancreas in Children

Seok Ho Choi, M.D., Dae Yeon Kim, M.D., Kwi Won Park, M.D.,

Sung Eun Jung, M.D., Seong Cheol Lee, M.D., Woo Ki Kim, M.D., Ja Jun Jang, M.D.*

Department of Surgery and Pathology*, Seoul National University Medical College Seoul, Korea

Six children with solid and papillary epithelial neoplasm of the pancreas were studied retrospectively. There were 2 boys and 4 girls. The mean age at operation was 11 years(range; 8-13years). Three patients had incidental abdominal mass, in two patients the mass was non-tender, in one patient the mass was tender. The minimum size of tumor was 6.5 x 6.0 cm and the maximum was 10.5 x 8.0 cm. Five tumors were located in the head of the pancreas, and the other one in the tail. Local invasion or metastasis was not noticed. Tumors were re- moved completely by performing the following operations: 3 pylorous preserving pancreaticoduodenectomy, 2 Whipple's operation and 1 distal pancreatectomy.

There was no mortality. The histologic findings were characteristic. There were no recurrences during a follow-up of 0.5 to 12 years (mean; 5.0 years).

Index Words: Solid and papillary epithelial neoplasm, Pancreas, Children

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Case Age/Sex Chief complaints LFT Serum amylase

1 13/F Nontender mass Normal Normal

2 12/M Tender mass Normal Normal

3 13/F Nontender mass Normal Normal

4 8/F Incidental mass Normal Normal

5 9/M Incidental mass Normal Normal

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Table 2. Operative Findings

Case Location Size(cm) Invasion

1 Head 9.5 x 9.0

2 Head 8.5 x 7.0

3 Head 7.5 x 7.0

4 Tail 10.5 x 8.0

5 Head 6.5 x 6.0

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Table 3. Postoperative Course

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Metastasis Procedure

Whipple Whipple PPPD

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