Congenital Pancreatic Cyst

Al-Salem, Ahmed H.; Matta, Hilal

doi:10.1097/mpg.0b013e318299443d

Cited by 15 publications

(5 citation statements)

References 7 publications

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“…9) had pancreatic tissue on the cyst wall. This situation has been reported in the literature that these cysts may also have had high amylase levels, as in our patient (11). It is known from the literature that surgical excision, cyst marsupialization with drainage and aspiration are used in the treatment of these congenital cysts.…”

Section: Discussionsupporting

confidence: 79%

“…True congenital pancreatic cysts are extremely rare in children and it is not easy to distinguish them from other pancreatic cysts such as retention, duplication, pseudocyst, neoplastic and parasitic cysts. It is also not easy to distinguish them pathologically from retention and duplication cysts (11). Although these cysts are mostly reported as unilocular and located in the body/tail of the pancreas (12), we have detected multiple cysts in one patient and a located at the head of the pancreas in another.…”

Section: Discussionmentioning

confidence: 65%

“…It has also been reported that cysts usually present with symptoms such as abdominal distension, vomiting, jaundice, or pancreatitis in patients less than two years of age (12); however, the diagnosis was made by incidentally in a patient younger than two years of age. When a cystic tumour of the pancreas is recognised, laboratory data, clinical features and modern imaging techniques are maybe not enough to distinguish them from other cystic lesions (11). So, every effort should be made to exclude a history of acute pancreatitis, because pancreatic pseudocysts remain the single most common cystic pancreatic mass (13).…”

Section: Discussionmentioning

confidence: 99%

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Pancreatic Tumors in Children

Gezer¹,

Temız²,

Ezer³

et al. 2021

Bezmialem Science

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Amaç: Çocuklarda son derece nadir görülen pankreas tümörlerinin tanı ve tedavisi pediatrik cerrahlar için halen zorluklar barındırmaktadır. Bu çalışmamızda pankreas tümörleri ile ilgili deneyimlerimizi ve tedavi sonuçlarımızı sunmayı amaçladık. Yöntemler: 2005 ve 2019 yılları arasında, pankreas tümörü tanısı konulan, 0-18 yaş arası çocukların dosyaları geriye dönük olarak incelendi. Klinik, laboratuvar, radyolojik görüntüleme tetkikleri, patoloji ve ameliyat verileri elde edildi. Bulgular: Çalışmamızda 5'i erkek toplam 9 hasta değerlendirildi. Hastaların en sık başvuru şikâyeti karın ağrısıydı. Dört hastada ise pankreas tümörü tesadüfen tespit edildi. Tespit ettiğimiz tüm tümörler pankreasın fonksiyonel olmayan primer tümörleriydi. Tümörlerin histopatolojik tanıları ise solid-psödopapiller tümör (n = 3), konjenital pankreas kisti (n = 3), pankreatoblastoma (n=1), rabdomiyosarkom (n=1) ve undifferansiye karsinom (n=1) idi. Tümör eksizyonu (enukleasyon) (n = 5), santral pankreatektomi+distal pankreaticojejunostomi (n = 1), distal pankreatektomi (n = 1), ve kistogastrostomi (n = 1) gibi yöntemler ile sekiz hasta cerrahi olarak tedavi edildi. Tümörün yaygınlığından iki hasta kaybedildi. Hastalar ortalama 8 yıl (6 ay-10 yıl) takip edildi. Sonuç: Nadir görülen çocukluk çağı pankreas tümörleri genellikle iyi huyludurlar. Başvuru nedeni sıklıkla hastalığa özgül olmayan semptomlardır. Metastatik olmayan olgularda, tümörün çıkarılması hastaların tedavisinde öncelikli olarak tercih edilmesi gereken yöntemdir. Tümörler çoğunlukla pankreasın gövde veya kuyruk kısmında yerleştiğinden cerrahileri yüz güldürücüdür ve düşük morbidite ile sonuçlanır. Tam olarak tümörün çıkarılabildiği vakalarda uzun vadeli sonuçlar genellikle iyidir.Objective: Pancreatic tumours in children are exceedingly rare and as a result constitute a diagnostic and therapeutic challenge to paediatric surgeons. In this study, we aimed to present our experiences and treatment results related to these rare tumors. Methods: Clinical data, laboratory investigations, radiological imaging, pathology and surgical details of patients with pancreatic tumours diagnosed between 2005 and 2019, were retrospectively reviewed. Results: Nine patients (5 male) were included in the study. The most common symptom at presentation was vague abdominal pain. A pancreatic tumour was detected incidentally in four patients. All tumours were non-functional primary tumours. Histopathological diagnose of these tumours' were solid-pseudopapillary tumours (n = 3), congenital pancreatic cysts (n = 3), pancreatoblastoma (n = 1), rhabdomyosarcoma (n = 1) and an undifferentiated carcinoma (n = 1). Eight patients were treated surgically (tumour excision, central pancreatectomy + distal pancreaticojejunostomy, distal pancreatectomy and cystogastrostomy). There were two deaths from tumour dissemination. Patients were followed-up at a mean of 72 months (6-120 months). Conclusion: Paediatric pancreatic tumours are rare and are usually benign. They present symptoms which are often nonspecific. In no...

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

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Pancreatic Tumors in Children

Gezer¹,

Temız²,

Ezer³

et al. 2021

Bezmialem Science

View full text Add to dashboard Cite

show abstract

“…In the diagnostic process, pseudocysts were excluded as in both cases there was no past medical history of pancreatitis or abdominal injury [2]. Congenital pancreatic cysts also seemed unlikely due to atypical age.…”

mentioning

confidence: 99%

“…Congenital pancreatic cysts also seemed unlikely due to atypical age. Both patients had abdominal ultrasound performed earlier in their lives, with no significant findings [2]. Primary hydatid cyst also was considered.…”

mentioning

confidence: 99%