A 20-year review of pediatric pancreatic tumors
Pancreatic tumors are rare surgical problems in infants and children. A 20-year audit (1971 to 1991) of this institution showed six patients ranging in age from 3 weeks to 16 years who were operated on for pancreatic neoplasms. Five of these tumors were malignant, bringing the reported experience to...
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| Veröffentlicht in: | Journal of pediatric surgery 1992-10, Vol.27 (10), p.1315-1317 |
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| container_title | Journal of pediatric surgery |
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| creator | Jaksic, T. Yaman, M. Thorner, P. Wesson, D.K. Filler, R.M. Shandling, B. |
| description | Pancreatic tumors are rare surgical problems in infants and children. A 20-year audit (1971 to 1991) of this institution showed six patients ranging in age from 3 weeks to 16 years who were operated on for pancreatic neoplasms. Five of these tumors were malignant, bringing the reported experience to 71 cases. This series of malignancies included three solid cystic tumors, one insulin-secreting tumor, and one pancreatoblastoma. The clinical presentations varied: three had abdominal pain, one developed hypoglycemia, and one had an abdominal mass with jaundice. In five of the six patients pancreatic pathology was suspected preoperatively. All were treated primarily with pancreatic resection including one pancreatoduodenectomy. No radiotherapy or chemotherapy was used. The perioperative mortality was 0% with a morbidity of 50%. The long-term results are encouraging, with all patients alive after a mean follow-up of 7.8 years. These data suggest that aggressive surgical therapy is warranted in the management of pediatric pancreatic tumors. |
| doi_str_mv | 10.1016/0022-3468(92)90284-E |
| format | Article |
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A 20-year audit (1971 to 1991) of this institution showed six patients ranging in age from 3 weeks to 16 years who were operated on for pancreatic neoplasms. Five of these tumors were malignant, bringing the reported experience to 71 cases. This series of malignancies included three solid cystic tumors, one insulin-secreting tumor, and one pancreatoblastoma. The clinical presentations varied: three had abdominal pain, one developed hypoglycemia, and one had an abdominal mass with jaundice. In five of the six patients pancreatic pathology was suspected preoperatively. All were treated primarily with pancreatic resection including one pancreatoduodenectomy. No radiotherapy or chemotherapy was used. The perioperative mortality was 0% with a morbidity of 50%. The long-term results are encouraging, with all patients alive after a mean follow-up of 7.8 years. These data suggest that aggressive surgical therapy is warranted in the management of pediatric pancreatic tumors.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/0022-3468(92)90284-E</identifier><identifier>PMID: 1328584</identifier><identifier>CODEN: JPDSA3</identifier><language>eng</language><publisher>Philadelphia, PA: Elsevier Inc</publisher><subject>Adenoma, Islet Cell - diagnosis ; Adenoma, Islet Cell - pathology ; Adenoma, Islet Cell - surgery ; Adolescent ; Biological and medical sciences ; Carcinoma - diagnosis ; Carcinoma - pathology ; Carcinoma - surgery ; Carcinoma, Papillary - diagnosis ; Carcinoma, Papillary - pathology ; Carcinoma, Papillary - surgery ; Child ; Child, Preschool ; Follow-Up Studies ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Infant ; Infant, Newborn ; Insulinoma - diagnosis ; Insulinoma - pathology ; Insulinoma - surgery ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Medical sciences ; Pancreas - pathology ; Pancreatectomy - methods ; Pancreatic Cyst - diagnosis ; Pancreatic Cyst - pathology ; Pancreatic Cyst - surgery ; Pancreatic Neoplasms - diagnosis ; Pancreatic Neoplasms - pathology ; Pancreatic Neoplasms - surgery ; Postoperative Complications - diagnosis ; Tomography, X-Ray Computed ; Tumors</subject><ispartof>Journal of pediatric surgery, 1992-10, Vol.27 (10), p.1315-1317</ispartof><rights>1992</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-850499e66cc15880d0cb3765c6bc9d2dbfbb1044050ff11229edb25b838986ef3</citedby><cites>FETCH-LOGICAL-c452t-850499e66cc15880d0cb3765c6bc9d2dbfbb1044050ff11229edb25b838986ef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0022-3468(92)90284-E$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,3550,23930,23931,25140,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4509821$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1328584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jaksic, T.</creatorcontrib><creatorcontrib>Yaman, M.</creatorcontrib><creatorcontrib>Thorner, P.</creatorcontrib><creatorcontrib>Wesson, D.K.</creatorcontrib><creatorcontrib>Filler, R.M.</creatorcontrib><creatorcontrib>Shandling, B.</creatorcontrib><title>A 20-year review of pediatric pancreatic tumors</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Pancreatic tumors are rare surgical problems in infants and children. A 20-year audit (1971 to 1991) of this institution showed six patients ranging in age from 3 weeks to 16 years who were operated on for pancreatic neoplasms. Five of these tumors were malignant, bringing the reported experience to 71 cases. This series of malignancies included three solid cystic tumors, one insulin-secreting tumor, and one pancreatoblastoma. The clinical presentations varied: three had abdominal pain, one developed hypoglycemia, and one had an abdominal mass with jaundice. In five of the six patients pancreatic pathology was suspected preoperatively. All were treated primarily with pancreatic resection including one pancreatoduodenectomy. No radiotherapy or chemotherapy was used. The perioperative mortality was 0% with a morbidity of 50%. The long-term results are encouraging, with all patients alive after a mean follow-up of 7.8 years. These data suggest that aggressive surgical therapy is warranted in the management of pediatric pancreatic tumors.</description><subject>Adenoma, Islet Cell - diagnosis</subject><subject>Adenoma, Islet Cell - pathology</subject><subject>Adenoma, Islet Cell - surgery</subject><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Carcinoma - diagnosis</subject><subject>Carcinoma - pathology</subject><subject>Carcinoma - surgery</subject><subject>Carcinoma, Papillary - diagnosis</subject><subject>Carcinoma, Papillary - pathology</subject><subject>Carcinoma, Papillary - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Insulinoma - diagnosis</subject><subject>Insulinoma - pathology</subject><subject>Insulinoma - surgery</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Medical sciences</subject><subject>Pancreas - pathology</subject><subject>Pancreatectomy - methods</subject><subject>Pancreatic Cyst - diagnosis</subject><subject>Pancreatic Cyst - pathology</subject><subject>Pancreatic Cyst - surgery</subject><subject>Pancreatic Neoplasms - diagnosis</subject><subject>Pancreatic Neoplasms - pathology</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Postoperative Complications - diagnosis</subject><subject>Tomography, X-Ray Computed</subject><subject>Tumors</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRaq3-A4UcRPQQO_uV7l6EUuoHFLzoedlsJhBJmribKv33bk2pN08zzPvMMDyEXFK4p0CzKQBjKReZutXsTgNTIl0ekTGVnKYS-OyYjA_IKTkL4QMgjoGOyIhypqQSYzKdJwzSLVqfePyq8Dtpy6TDorK9r1zS2bXzaPvY9pum9eGcnJS2DnixrxPy_rh8Wzynq9enl8V8lTohWZ8qCUJrzDLnqFQKCnA5n2XSZbnTBSvyMs8pCAESypJSxjQWOZO54kqrDEs-ITfD3c63nxsMvWmq4LCu7RrbTTAzzhjnSkZQDKDzbQgeS9P5qrF-ayiYnSezk2B2Eoxm5teTWca1q_39Td5g8bc0iIn59T63wdm69FFEFQ6YkKAVoxF7GDCMLqI-b4KrcO2iQI-uN0Vb_f_HD86TgYc</recordid><startdate>19921001</startdate><enddate>19921001</enddate><creator>Jaksic, T.</creator><creator>Yaman, M.</creator><creator>Thorner, P.</creator><creator>Wesson, D.K.</creator><creator>Filler, R.M.</creator><creator>Shandling, B.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19921001</creationdate><title>A 20-year review of pediatric pancreatic tumors</title><author>Jaksic, T. ; Yaman, M. ; Thorner, P. ; Wesson, D.K. ; Filler, R.M. ; Shandling, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-850499e66cc15880d0cb3765c6bc9d2dbfbb1044050ff11229edb25b838986ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Adenoma, Islet Cell - diagnosis</topic><topic>Adenoma, Islet Cell - pathology</topic><topic>Adenoma, Islet Cell - surgery</topic><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Carcinoma - diagnosis</topic><topic>Carcinoma - pathology</topic><topic>Carcinoma - surgery</topic><topic>Carcinoma, Papillary - diagnosis</topic><topic>Carcinoma, Papillary - pathology</topic><topic>Carcinoma, Papillary - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Insulinoma - diagnosis</topic><topic>Insulinoma - pathology</topic><topic>Insulinoma - surgery</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Medical sciences</topic><topic>Pancreas - pathology</topic><topic>Pancreatectomy - methods</topic><topic>Pancreatic Cyst - diagnosis</topic><topic>Pancreatic Cyst - pathology</topic><topic>Pancreatic Cyst - surgery</topic><topic>Pancreatic Neoplasms - diagnosis</topic><topic>Pancreatic Neoplasms - pathology</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Postoperative Complications - diagnosis</topic><topic>Tomography, X-Ray Computed</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jaksic, T.</creatorcontrib><creatorcontrib>Yaman, M.</creatorcontrib><creatorcontrib>Thorner, P.</creatorcontrib><creatorcontrib>Wesson, D.K.</creatorcontrib><creatorcontrib>Filler, R.M.</creatorcontrib><creatorcontrib>Shandling, B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jaksic, T.</au><au>Yaman, M.</au><au>Thorner, P.</au><au>Wesson, D.K.</au><au>Filler, R.M.</au><au>Shandling, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A 20-year review of pediatric pancreatic tumors</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1992-10-01</date><risdate>1992</risdate><volume>27</volume><issue>10</issue><spage>1315</spage><epage>1317</epage><pages>1315-1317</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><coden>JPDSA3</coden><abstract>Pancreatic tumors are rare surgical problems in infants and children. A 20-year audit (1971 to 1991) of this institution showed six patients ranging in age from 3 weeks to 16 years who were operated on for pancreatic neoplasms. Five of these tumors were malignant, bringing the reported experience to 71 cases. This series of malignancies included three solid cystic tumors, one insulin-secreting tumor, and one pancreatoblastoma. The clinical presentations varied: three had abdominal pain, one developed hypoglycemia, and one had an abdominal mass with jaundice. In five of the six patients pancreatic pathology was suspected preoperatively. All were treated primarily with pancreatic resection including one pancreatoduodenectomy. No radiotherapy or chemotherapy was used. The perioperative mortality was 0% with a morbidity of 50%. The long-term results are encouraging, with all patients alive after a mean follow-up of 7.8 years. These data suggest that aggressive surgical therapy is warranted in the management of pediatric pancreatic tumors.</abstract><cop>Philadelphia, PA</cop><pub>Elsevier Inc</pub><pmid>1328584</pmid><doi>10.1016/0022-3468(92)90284-E</doi><tpages>3</tpages></addata></record> |
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| subjects | Adenoma, Islet Cell - diagnosis Adenoma, Islet Cell - pathology Adenoma, Islet Cell - surgery Adolescent Biological and medical sciences Carcinoma - diagnosis Carcinoma - pathology Carcinoma - surgery Carcinoma, Papillary - diagnosis Carcinoma, Papillary - pathology Carcinoma, Papillary - surgery Child Child, Preschool Follow-Up Studies Gastroenterology. Liver. Pancreas. Abdomen Humans Infant Infant, Newborn Insulinoma - diagnosis Insulinoma - pathology Insulinoma - surgery Liver. Biliary tract. Portal circulation. Exocrine pancreas Medical sciences Pancreas - pathology Pancreatectomy - methods Pancreatic Cyst - diagnosis Pancreatic Cyst - pathology Pancreatic Cyst - surgery Pancreatic Neoplasms - diagnosis Pancreatic Neoplasms - pathology Pancreatic Neoplasms - surgery Postoperative Complications - diagnosis Tomography, X-Ray Computed Tumors |
| title | A 20-year review of pediatric pancreatic tumors |
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