Long-term survival of a sixteen year old male with a resected pancreatoblastoma

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  • 長期生存が得られた１６歳男性の膵芽腫の１切除例

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A sixteen year old male was admitted to our hospital complaining of anorexia and weight loss. Abdominal echo and CT examination showed a huge mass in the pancreas head. The second portion of duodenum and common bile duct were compressed by a tumor arising from the pancreas head which expanded laterally. A cystic component was seen in the mass, suggesting intratumoral bleeding. The main pancreatic duct was not dilated. A pancreatoblastoma was suspected based on the image findings, patient's age, and high level of serum AFP.<br> A pancreatoduodenectomy was performed and histopathological examination of resected specimen revealed that the tumor was encapsulated and contained cells with large round nuclei and proliferated to form small ducts or sheet-like patterns. Squamoid corpuscles were seen, and the tumor was diagnosed as pancreatoblastoma. AFP, α-1 antitrypsin, and chromogranin A were stained by immunohistochemistry.<br> The patient is alive and well now 8 years 5 months after the operation.<br>

Journal

  • Suizo

    Suizo 26 (1), 99-107, 2011

    Japan Pancreas Society

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