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KMID : 1152420200260020077
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Advances in Pediatric Surgery
2020 Volume.26 No. 2 p.77 ~ p.82
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Intraductal Papillary Mucinous Neoplasm of the Pancreas with Worrisome Features in a 12-Year-Old Boy
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Kang Min-Kyu
Youn Joong-Kee
Kim Hyun-Young
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Abstract
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Intraductal papillary mucinous neoplasm (IPMN) of the pancreas encompasses a wide spectrum of epithelial changes from benign adenoma to invasive adenocarcinoma. IPMN is a premalignant lesion where approximately one-third of the tumors undergo malignant transformation. This disease is prevalent in the elderly population and is rare in youth. In this case we report a 12-year-old boy with symptoms of pancreatitis with cystic lesions consistent with branch duct type-IPMN. This is the third reported case of IPMN in a pediatric patient. Our patient underwent pylorus-preserving pancreaticoduodenectomy, and through this case report we suggest when worrisome features or high-risk stigmata features are observed even in pediatric patients, surgical resection should be considered due to the potential for malignant transformation in the future.
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KEYWORD
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Pancreatic intraductal neoplasms, Pancreaticoduodenectomy
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