Authors: | McEvoy, M. P.; Rich, B.; Klimstra, D.; Vakiani, E.; LaQuaglia, M. P. |
Article Title: | Acinar cell cystadenoma of the pancreas in a 9-year-old boy |
Abstract: | This report describes a rare benign cystic lesion of the pancreas known as acinar cell cystadenoma. There are 12 previously reported cases, the youngest patient from which was age 16. We report the youngest case to date, occurring in a 9-year-old boy. The pancreatic lesion was found incidentally and confirmed by laparoscopic biopsy. A pseudocyst formed, which was drained endoscopically. Given that the lesion was benign and the patient was asymptomatic, no further intervention was recommended. Complete resection would require a total pancreatectomy, with attendant morbidity, and review of the literature suggests a benign course. In asymptomatic cases, we recommend biopsy for histologic diagnosis, with close follow-up and without further surgical intervention. © 2010 Elsevier Inc. All rights reserved. |
Keywords: | immunohistochemistry; child; human tissue; school child; human cell; case report; pancreatic neoplasms; nuclear magnetic resonance imaging; laparoscopy; computer assisted tomography; ca 19-9 antigen; cystadenoma; tomography, x-ray computed; incidental findings; pancreas tumor; endoscopic surgery; surgical drainage; total parenteral nutrition; cytokeratin 7; appendectomy; cytokeratin 19; frozen section; pancreas biopsy; chymotrypsin; acinar cell; appendicitis; trypsin; pancreas pseudocyst; acinar cell cystadenocarcinoma; acinar cell cystadenoma; acinar cell tumor; pancreatic cystic tumors; pancreatic neoplasm; acute appendicitis |
Journal Title: | Journal of Pediatric Surgery |
Volume: | 45 |
Issue: | 5 |
ISSN: | 0022-3468 |
Publisher: | W.B. Saunders Co-Elsevier Inc. |
Date Published: | 2010-05-01 |
Start Page: | e7 |
End Page: | e9 |
Language: | English |
DOI: | 10.1016/j.jpedsurg.2010.02.043 |
PUBMED: | 20438912 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | --- - "Export Date: 20 April 2011" - "CODEN: JPDSA" - "Source: Scopus" |