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RARE PANCREATIC TUMOURS IN CHILDREN (OTHER THAN NESIDIOBLASTOSIS)
Author(s) -
Mammen A.,
Kalidasan V.,
Beasley S. W.
Publication year - 1997
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1997.tb07117.x
Subject(s) - medicine , nesidioblastosis , pediatrics , general surgery , pancreas , insulinoma
Background : The rarity of pancreatic tumours other than nesidioblastosis in children is such that the experience of any one surgeon or institution is small. As a consequence, there is limited information on the appropriate management and outcome of these tumours. For this reason a review was conducted of the experience of a large paediatric surgical institution. Methods : During a 23‐year period, six patients with pancreatic tumours other than nesidioblastosis were treated at the Royal Children's Hospital, Melbourne. Results : Despite the varied modes of presentation and surgery undertaken, all six patients survived with surgery alone, with follow‐up from 1 to 18 years. Two of the tumours were malignant; the remaining four being islet cell adenomata. No form of adjuvant treatment (chemotherapy or radiotherapy) was used. Conclusion : These rare paediatric tumours appear to have a good prognosis, even when malignant, and respond well to radical surgical ablation. Adjuvant therapy appears to be unnecessary.