Intraductal Papillary Mucinous Neoplasm of the Pancreas with Worrisome Features in a 12-Year-Old Boy

Kang, Myounggon; Youn, Joong Kee; Kim, Sujeong

doi:10.13029/aps.2020.26.2.77

Cited by 1 publication

(2 citation statements)

References 19 publications

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“…Pancreatic cystic neoplasms (PCNs), including intraductal papillary mucinous neoplasm (IPMN), mucinous cystic neoplasm (MCN), and serous cystadenoma, are uncommon in adults and extremely rare in children. A single pediatric PCN has been reported to the SEER 21 database group, and fewer than a handful of these tumors have been reported in the relatively recently published literature (35)(36)(37).…”

Section: Cystic Neoplasmsmentioning

confidence: 99%

“…At imaging, IPMN, MCN, and serous cystadenoma generally can be differentiated on the basis of morphologic features by using CT and MRI. IPMN manifests as dilatation of the main pancreatic duct (main duct-type IPMN) or its side branches (side branch-type IPMN), with some side branch lesions having a morphology that resembles a cluster of grapes or clubbed finger (36). The ductal dilatation is due to the presence of obstructing tumor and mucus, and the main differential diagnosis at imaging is ductal obstruction due to stone or stricture.…”

Section: Cystic Neoplasmsmentioning

confidence: 99%

See 1 more Smart Citation

Pancreatic Masses in Children and Young Adults: Multimodality Review with Pathologic Correlation

Qiu¹,

Trout²,

Ayyala³

et al. 2021

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Masses and masslike lesions of the pancreas are uncommon in the pediatric population. However, owing to overlapping clinical and imaging features, it can be challenging to differentiate the various causes of pediatric pancreatic masses at initial patient presentation. Clinical data such as patient age, signs and symptoms at presentation, laboratory test results, and potential underlying cancer predisposition syndrome can be helpful when formulating a differential diagnosis. US may be the first imaging study to depict a pancreatic mass in a child, as this examination is frequently performed in children with nonspecific abdominal signs and symptoms because of its wide availability and relatively low cost and the lack of a need for sedation or anesthesia. CT or MRI is typically required for more thorough characterization of the mass and surgical planning. Complete characterization of pancreatic masses includes assessment of vascular involvement, local invasion, and extrapancreatic spread of tumor. The authors provide an up-to-date comprehensive review of the clinical manifestations, histopathologic features, and imaging findings of primary and secondary tumors of the pancreas in children and young adults. Advances in imaging, current prognostic information, and treatment paradigms also are highlighted. Finally, nontumorous masslike lesions of the pediatric pancreas, including vascular malformations, cystic disorders (eg, von Hippel-Lindau syndrome, cystic fibrosis), intrapancreatic accessory spleen, and autoimmune pancreatitis, are discussed.

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Section: Cystic Neoplasmsmentioning

confidence: 99%

Section: Cystic Neoplasmsmentioning

confidence: 99%