Pancreatic Tumors in Pediatric Population an Experience from Tertiary Care Centre in South India

Grace Mary G, Sampath Karl, John Mathai, .

Abstract


Background: Pancreatic tumors are uncommon

in pediatric population. Solid pseudo papillary

tumors and neuroendocrine tumors (insulinomas) are the

most common type of pancreatic tumors in children.

Clinical presentation, histology and prognosis varies

from those of adults. Objective: Purpose of this study is

to review the demography, clinical presentation, imaging,

histological features, various surgical options that can

be adopted and the outcomes following Surgery.

Methods: Retrospective chart review of children<15 years

admitted in pediatric surgery ward at CMC Vellore between

2009 - 2016. Results: Two neuroendocrine tumors were

insulinomas. Both were excised completely without

requiring adjuvant therapy. Out of 8 solid pseudo papillary

tumors, 7 underwent complete tumor resection and

required no adjuvant treatment however 1 child had

recurrence and received chemotherapy and radiotherapy.

Surgeries done were pylorus preserving Whipple’s

pancreatoduodenectomy, Central Pancreatectomy with

distal roux-en-y pancreaticojejunosotomy, distal

pancreatectomy. Postoperative CT/MRI showed no

recurrence or residual tumor. All 10 are alive and symptom

free till to date. Conclusions: Pancreatic resections in

children offer cure and long term survival.

 


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Available from: http://pubs.rsna.org/doi/full/10.1148/

rg.264065012


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