Irina Adomaitienė, Alesia Metlova, Eglė Stašienė, Artūras Samuilis, Kęstutis Trainavičius
Solid-pseudopapillary tumour of the pancreas (SPT) is an exceptionally rare neoplasm in children. It is of low malignant potential and occurs most frequently in young females. Patients and methods: A cumulative review of the tumour‘s radiological characteristics from the English language scientific literature is presented. The clinical course, radiological investigations and outcome of surgery of two children treated at Vilnius University Hospital Santariskiu Clinics Children`s hospital are analyzed. Results: Total number of 33 SPT was reported in literature in 2000- 2011. 4 articles about radiological features of SPT in children were found in reviewed literature. Between 2011 and 2012, two children with SPT were diagnosed at our institution. Both patients underwent abdominal ultrasound and computed tomography (CT) examinations. Preoperative biopsy was performed for both patients. After surgery SPT was confirmed for both patients. Conclusions: SPT is a rare differential diagnosis of a pancreatic mass in children. SPT might be one of the radiological differential diagnoses in children with big pancreatic tumour within intratumoural hemorrhage, calcifications and pseudocapsule. CT examination is used to evaluate tumour invasion and resectability. Magnetic resonance tomography could be used to avoid radiation exposure.
Keyword(s): solid pseudopapillary tumour of the pancreas in children; diagnostic imaging
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