<abstract xmlns="http://www.w3.org/1999/xhtml"><bold>Background.</bold> Inflammatory myofibroblastic tumors are rare in the pediatric population. Most common localizations were reported in the lungs. A localization in the pancreas needs differentiation from other tumors and chronic pancreatitis. Treatment is surgical resection, although there are reports of treatment with oral steroids and radiation therapy.<bold>Case report.</bold> A 6-month-old child was treated due to a tumor in the head of the pancreas. On admission he was jaundiced with pruritus. US and MRI confirmed pancreatic tumor. Preoperative biopsy wasn’t conclusive regarding the nature of the tumor. Duodenopancreatectomy was performed. Postoperative course was uneventful. Histologic examination confirmed the diagnosis of inflammatory myofibroblastic tumor. On follow up, he remained with no evidence of recurrence.<bold>Conclusions.</bold> A literature review revealed 10 cases of pancreatic inflammatory myofibroblastic tumors in the pediatric age group. Our patient is the youngest reported. Despite major resection, there were no complications. However, management of this child might be possible with steroids, but conservative treatment might be insufficient, especially in aggressive forms of tumors.</abstract>

Background. Inflammatory myofibroblastic tumors are rare in the pediatric population. Most common localizations were reported in the lungs. A localization in the pancreas needs differentiation from other tumors and chronic pancreatitis. Treatment is surgical resection, although there are reports of treatment with oral steroids and radiation therapy.Case report. A 6-month-old child was treated due to a tumor in the head of the pancreas. On admission he was jaundiced with pruritus. US and MRI confirmed pancreatic tumor. Preoperative biopsy wasn’t conclusive regarding the nature of the tumor. Duodenopancreatectomy was performed. Postoperative course was uneventful. Histologic examination confirmed the diagnosis of inflammatory myofibroblastic tumor. On follow up, he remained with no evidence of recurrence.Conclusions. A literature review revealed 10 cases of pancreatic inflammatory myofibroblastic tumors in the pediatric age group. Our patient is the youngest reported. Despite major resection, there were no complications. However, management of this child might be possible with steroids, but conservative treatment might be insufficient, especially in aggressive forms of tumors.

Inflammatory myofibroblastic tumor of the pancreatic head – a case report of a 6 months old child and review of the literature

Department of Abdominal Surgery, University Medical Center Ljubljana, Ljubljana, Slovenia

Department of Gastroenterology, Hepatology and Nutrition, University Children’s Hospital, Ljubljana, University Medical Center Ljubljana, Ljubljana, Slovenia

Radiology and Oncology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Background. Inflammatory myofibroblastic tumors are rare in the pediatric population. Most common localizations were reported in the lungs. A localization in...

Inflammatory myofibroblastic tumor of the pancreatic head – a case report of a 6 months old child and review of the literature

Publicado en línea: 21 ago 2015

Páginas: 265 - 270

Recibido: 14 mar 2013

Aceptado: 22 mar 2014

DOI: https://doi.org/10.2478/raon-2014-0017

Palabras clave
child, inflammatory myofibroblastic tumor, duodenopancreatectomy

© 2015 Ales Tomazic et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Inflammatory myofibroblastic tumor of the pancreatic head – a case report of a 6 months old child and review of the literature

Publicado en línea: 21 ago 2015

Páginas: 265 - 270

Recibido: 14 mar 2013

Aceptado: 22 mar 2014

DOI: https://doi.org/10.2478/raon-2014-0017

Palabras clavechild, inflammatory myofibroblastic tumor, duodenopancreatectomy

© 2015 Ales Tomazic et al., published by De Gruyter Open

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Palabras clave
child, inflammatory myofibroblastic tumor, duodenopancreatectomy