Journal List > J Korean Surg Soc > v.77(Suppl) > 1011068

Park: Pancreatoblastoma in Children

Abstract

Pancreatoblastoma is a rare pediatric neoplasm with distinct acinar and squamoid differentiation that generally affects infants and young children. Although the prognosis is relatively favorable over typical pancreatic cancer, the optimal treatment of pancreatoblastoma has not been established. We experienced two cases of pancreatoblastoma in a 2-year-old girl and boy which was found incidentally by the parents due to the detection of abdominal masses.

Figures and Tables

Fig. 1
Contrast enhanced abdominal computed tomography (CT) scan shows well-demarcated, inhomogenous mass with some calcification in head of pancreas.
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Fig. 2
Cut surface of tumor shows yellowish area intermixing with myxoid area and focal cystic change. Mass is separated by fibrous septa.
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Fig. 3
Contrast enhanced abdominal CT scan shows well-defined solid mass, which is multilobulated by enhancing septa.
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Fig. 4
Operative finding shows huge mass originating from tail of pancreas.
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Fig. 5
Histological examination shows a distinct organoid pattern containing globular structures with elongated cells (Squamoid corpuscles: black arrow) and acinar cells (H&E stain, ×400).
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References

1. Chun Y, Kim W, Park K, Lee S, Jung S. Pancreatoblastoma. J Pediatr Surg. 1997. 32:1612–1615.
2. Huh YS, Hah JO, Jang SM, Lee JH. Two cases of pancreatoblastoma. J Korean Assoc Pediatr Surg. 2000. 6:139–142.
3. Wang YG, Kim HY, Bae YT, Sim MS. Pancreatoblastoma 1 case. Korean J Hepatobiliary Pancreat Surg. 2001. 5:119–124.
4. Horie A, Yano Y, Kotoo Y, Miwa A. Morphogenesis of pancreatoblastoma, infantile carcinoma of the pancreas: report of two cases. Cancer. 1977. 39:247–254.
5. Horie A, Haratake J, Jimi A, Matsumoto M, Ishii N, Tsutsumi Y. Pancreatoblastoma in Japan, with differential diagnosis from papillary cystic tumor (ductuloacinar adenoma) of the pancreas. Acta Pathol Jpn. 1987. 37:47–63.
6. Morohoshi T, Sagawa F, Mitsuya T. Pancreatoblastoma with marked elevation of serum alpha-fetoprotein. An autopsy case report with immunocytochemical study. Virchows Arch A Pathol Anat Histopathol. 1990. 416:265–270.
7. Ogawa B, Okinaga K, Obana K, Nakamura K, Hattori T, Ito T, et al. Pancreatoblastoma treated by delayed operation after effective chemotherapy. J Pediatr Surg. 2000. 35:1663–1665.
8. Inomata Y, Nishizawa T, Takasan H, Hayakawa T, Tanaka K. Pancreatoblastoma resected by delayed primary operation after effective chemotherapy. J Pediatr Surg. 1992. 27:1570–1572.
9. Vannier JP, Flamant F, Hemet J, Caillaud JM, Gruner M, Bachy B, et al. Pancreatoblastoma: response to chemotherapy. Med Pediatr Oncol. 1991. 19:187–191.
10. Griffin BR, Wisbeck WM, Schaller RT, Benjamin DR. Radiotherapy for locally recurrent infantile pancreatic carcinoma (pancreatoblastoma). Cancer. 1987. 60:1734–1736.
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