Childhood cystic teratoma of the pancreas: Clinical presentation, evaluation and management

Abstract Pancreatic cystic teratoma in children is extremely rare. Here we present a female infant with a mature cystic teratoma of the pancreatic body. The patient was admitted for a palpable abdominal mass and anorexia. Computed tomography (CT) indicated a huge cystic mass in the abdominal cavity....

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Bibliographic Details
Published in:Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2014-07, Vol.14 (4), p.312-315
Main Authors: Wang, Yi, Jin, Shuguang, Wang, Weiya, Lu, Changli, Liu, Rongbo, Zhong, Lin, Li, Yuan
Format: Article
Language:English
Subjects:
Abdomen
Cysts
Dermoid cyst
Diagnosis
Endocrinology & Metabolism
Female
Gastroenterology and Hepatology
Humans
Infant
Laparotomy
Medical imaging
Medical treatment
Pancreas
Pancreatectomy
Pancreatic cystic teratoma
Pancreatic Neoplasms - diagnosis
Pancreatic Neoplasms - surgery
Pancreatic Neoplasms - therapy
Pathology
Pediatrics
Surgery
Teratoma - diagnosis
Teratoma - surgery
Teratoma - therapy
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Abstract Pancreatic cystic teratoma in children is extremely rare. Here we present a female infant with a mature cystic teratoma of the pancreatic body. The patient was admitted for a palpable abdominal mass and anorexia. Computed tomography (CT) indicated a huge cystic mass in the abdominal cavity. Exploratory laparotomy was performed, and the tumor was excised completely. Pathology confirmed the tumor was a mature cystic teratoma of pancreatic origin. Two months after the initial surgery, a pseudocyst was detected and then cystojejunostomy was performed. Fourteen months after the second surgery, tumor relapse occurred and distal pancreatectomy was performed. The patient remained well without tumor recurrence during the next 24 months of follow-up. Our experience suggests that clinical manifestations of children with pancreatic cystic teratomas might be nonspecific and preoperative diagnosis is difficult. Radical tumor resection and maximized preservation of healthy pancreatic tissue should always be balanced in surgical treatment.
ISSN:1424-3903
1424-3911
DOI:10.1016/j.pan.2014.03.021