Different Management of Pancreatic Head Tumors in Children

Document Type : Original Article

Authors

1 Department of General Surgery, Cairo University, Faculty of Medicine, Cairo, Egypt

2 Department of General Surgery, Faculty of Medicine, Aswan University, Egypt

Abstract

Introduction: Less than 0.2% of all juvenile cancer-related fatalities are caused by pancreatic neoplasms, which
are uncommon in children.1
Patients and methods: Review of the literature and a retrospective single-institution research on all child
pancreatic tumours during a five-year period. Clinical aspects, presentation, investigation, therapy, and outcome
were among the data we provided.
Results: There were five patients found. Abdominal discomfort, mass, and vomiting were the most prevalent
symptoms upon presentation. We began oral feeding on the fifth postoperative day; no postoperative complications
were discovered; none of our patients had pancreatic or biliary leakage; and all of our cases had free resection
margins according to histological analysis.
The neuroendocrine tumour patient and the two SPT cases had pancreaticoduodenectomy.Roux-en-y
hepaticojejunostomy and gastrojejunostomy were performed on the other two patients, hemangioendothelioma
and rhabdomyosarcoma, who were referred for chemotherapy.
Conclusion: Paediatric pancreatic head tumours are rare, Clinical symptoms are often nonspecific, surgical
resection is the optimal treatment in absence of metastatis, Long-term outcome is generally good.

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Ain Shams Journal of Surgery
Volume 18, Issue 1
January 2025
Pages 36-39

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