Abstract
Pancreatoblastoma (PB) is extremely rare. A 11-year-old boy, who had excision of dilated common bile duct with hepaticoduodenostomy when 9 years old was referred to our institute for further management of abdominal pain and steatorrhea. Imaging studies showed a solid 4 cm tumor in the head of the pancreas and two lesions in the liver. Needle biopsies diagnosed PB with liver metastases. After five courses of chemotherapy, the primary tumor was completely resected with pancreaticoduodenectomy (PD) and Child’s pancreaticobiliary tract reconstruction. The liver metastases were resected. Postoperative recovery was uneventful. Here, we present this case and review the literature focusing on management of PB.
References
Shorter NA, Glick RD, Klimstra DS, Brerrar MF, LaQuaglia MP (2002) Malignant pancreatic tumors in childhood and adolescence: the memorial Sloan–Kettering experience, 1967 to present. J Pediatr Surg 37(6):887–892
Perez EA, Gutierrez JC, Koniaris LG, Neville HL, Thompson WR, Sola JE (2009) Malignant pancreatic tumors: incidence and outcome in 58 pediatric patients. J Pediatr Surg 44:197–203
Lack EE, Cassady JR, Levey R, Vawter GF (1983) Tumors of the exocrine pancreas in children and adolescents: a clinical and pathologic study of eight cases. Am J Surg Pathol 7(4):319–327
Lee YJ, Hah JO (2007) Long-term survival pancreatoblastoma in children. J Pediatr Hematol Oncol 29(12):845–857
Frey CF, Malt RA (1985) Surgical techniques illustrated: a comparative atlas. Ardmore Medical Books, PA, pp 430–434
Lee AC, Wong KW, Cheng MY (1996) Response to Hord and Janco re chemotherapy for unresectable pancreatoblastoma. Med Pediatr Oncol 26(6):432–433
Warren KW (1955) Nonfunctioning islet cell carcinoma in a 11-year-old child treated by pancreatoduodenectomy. Lahey Clin Bull 9:155–159
Becker WF (1957) Pancreatoduodenectomy for carcinoma of the pancreas in an infant: report of a case. Ann Surg 145(6):864–870
Grosfeld JL, Clatworthy HW Jr, Hamoudi AB (1970) Pancreatic malignancy in children. Arch Surg 101:370–375
Mah PT, Tock EPC (1974) Pancreatic acinar cell carcinoma in childhood. Am J Dis Child 128:101–104
Taxy JB (1976) Adenocarcinoma of the pancreas in childhood. Cancer 37:1508–1518
Cubilla AL, Fitzgerald PJ (1979) Classification of pancreatic cancer (nonendocrine). Mayo Clin Proc 54:449–458
Benjamin E, Wright DH (1980) Adenocarcinoma of the pancreas of childhood: a report of two cases. Histopathology 4:87–104
Murao T, Toda K, Tomiyama Y (1983) Papillary and solid neoplasm of pancreas in a child. Arch Pathol 33(3):565–575
Camprodon R, Quintanilla E (1984) Successful long-term results with resection of pancreatic carcinoma in children: favorable prognosis for an uncommon neoplasm. Surgery 95(4):420–426
Kaufman SL, Reddick RL, Stiegel M, Wild RE, Thomas CG (1986) Papillary cystic neoplasm of the pancreas: A curable pancreatic tumor. World J Surg 10:851–859
Synn AY, Mulvihill SJ, Fonkalsrud EW (1988) Surgical disorders of the pancreas in infancy and childhood. Am J Surg 156:201–205
Jaksic T, Yaman M, Thorner P, Wessen DK, Filler RM, Shanding B (1992) A 20-year review of pediatric pancreatic tumors. J Pediatr Surg 27(10):1315–1317
Tamai T, Yamamoto J, Nohara K, Tejima M, Iwamatsu H, Inoue T, Nanbara S, Ageo H, Tsuji H (2002) Pancreatoblastoma detected by anemia (author transl). J Jpn Soc Pediatr 101(6):1109–1110
Hamada Y, Sato M, Yamada O, Sanada T, Tsujiu M, Fukai Y, Higashino H, Kohdera U, Kobayashi Y, Hioki K (1993) Pancreatoblastoma in childhood: a report of two cases and review of the Japanese literature. J Jpn Soc Pediatr Surg 29(2):309–317
Defachelles AS, Lassale EM, Boutard P, Nelken B, Schneider P, Patte C (2001) Pancreatoblastoma in childhood: clinical course and therapeutic management of seven patients. Med Pediatr Oncol 37(1):47–52
Henke AC, Kelley CM, Jensen CS, Timmerman TG (2001) Fine-needle aspiration cytology of pancreatoblastoma. Diagn Cytopathol 25(2):118–121
Harada M, Nakayasu K (2002) Pediatric pancreatoblastoma: a case report (author transl). J Jpn Soc Pediatr Oncol 39(2):259
Shen J, Liang BL, Wang HY (2004) Septal enhancement within pancreatoblastoma of the pancreatic head presenting with progressive anaemia. Pediatr Radiol 34:583. doi:10.1007/s00247-004-1144-5
Oue T, Kubota A, Kawahara H, Okuyama H, Inoue M, Kawa T, Kishimoto H (2003) Pylorus-preserving pancreatoduodenectomy with portal vein reconstruction for pancreatoblastoma (author transl). J Jpn Soc Pediatr Surg 39(3):498
Yonekura T, Kosumi T, Hokim M, Hirooka S, Kitayama H, Kubota A (2006) Aggressive surgical and chemotherapeutic treatment of advanced pancreatoblastoma associated with tumor thrombus in portal vein. J Pediatr Surg 41:596–598
Cao L, Liu D (2007) Diagnosis and treatment of pancreatoblastoma in China. Pancreas 34(1):92–95
Vossen S, Goretzki PE, Goebel U, Willnow U (1998) Therapeutic management of rare malignant pancreatic tumors in children. World J Surg 22:879–882
Dhebri AR, Connor S, Cambell F, Ghaneh P, Sutton R, Neoptolemos JP (2004) Diagnosis, treatment and outcome of pancreatoblastoma. Pancreatology 4(5):441–453. doi:10.1159/000079823
Buchino JJ, Castello FM, Nagaraj HS (1984) Pancreatoblastoma: a histochemical and ultrastructural study. Cancer 53:963
Dall’Igna P, Cecchetto G, Bisogno G, Conte M, Chiesa PL, D’Angelo P, De Leonardis F, De Salvo G, Favini F, Ferrari A (2009) Pancreatic tumors in children and adolescents: the Italian TREP project experience. Pediatr Blood Cancer. doi:10.1002/pbc.22385
Horie A, Yano Y, Kotoo Y, Miwa A (1977) Morphogenesis of pancreatoblastoma, infantile carcinoma of the pancreas: report of two cases. Cancer 39(1):247–254
Willnow U, Willberg B, Schwanborn D, Korholz D, Gobel U (1995) Pancreatoblastoma in children: case report and review of the literature. Eur J Pediatr Surg 6:369–372
Klimstra DS, Wenig BM, Adair CF, Heffess CS (1995) Pancreatoblastoma: a clinicopathologic study and review of the literature. Am J Surg Pathol 19(12):1371–1389
Griffin BR, Wisbeck WM, Schaller RT, Benjamin DR (1987) Radiotherapy for locally recurrent infantile pancreatic carcinoma (pancreatoblastoma). Cancer 60:1734–1736
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ohata, R., Okazaki, T., Ishizaki, Y. et al. Pancreaticoduodenectomy for pancreatoblastoma: a case report and literature review. Pediatr Surg Int 26, 447–450 (2010). https://doi.org/10.1007/s00383-010-2561-1
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-010-2561-1