Halder Pankaj, Mukhopadhyay Bedabrata, Das Chhanda, Mukhopadhyay Madhumita
Asssitant Professor, Department of Paediatric Surgery, Dr B C Roy Post Graduate Institute of Paediatic Sciences , Kolkata, West Bengal, India .
Post Graduate Student, Department of Biochemistry, IMS, BHU , Varanasi, Uttar Pradesh, India .
J Clin Diagn Res. 2016 Mar;10(3):ED09-10. doi: 10.7860/JCDR/2016/15336.7413. Epub 2016 Mar 1.
Pancreatoblastoma, is rare exocrine malignant tumour of childhood. We are reporting a case of three-year-old child presented to our hospital suffering from vague abdominal pain for further examination and treatment. Clinical examination revealed only a palpable abdominal mass. CT Scan revealed a huge complex space occupying lesion 9.1x8.8x9.2cm with large central cystic degeneration and lobulated enhancing peripheral solid components with foci of calcification, seem to arise from body and tail regions of pancreas. Surgery was done and mass was removed. By histopathology and immunohistochemistry it was diagnosed as pancreatoblastoma. The prognosis is very good in paediatric age, lacking evidence of metastatic disease at first presentation. Therefore early diagnosis is needed for specific treatment. The case is being reported because of its rarity.
胰腺母细胞瘤是一种罕见的儿童期外分泌恶性肿瘤。我们报告一例3岁儿童因腹部隐痛到我院进一步检查和治疗。临床检查仅发现可触及的腹部肿块。CT扫描显示一个巨大的复杂占位性病变,大小为9.1×8.8×9.2cm,中央有大片囊性变性,周边实性成分呈分叶状强化,并有钙化灶,似乎起源于胰腺体尾部。进行了手术并切除了肿块。通过组织病理学和免疫组化诊断为胰腺母细胞瘤。在儿童期预后非常好,初诊时无转移疾病证据。因此需要早期诊断以便进行特异性治疗。该病例因其罕见性而被报告。