Abstract
ABSTRACT Advances in the surgical management of pancreatic exocrine tumors in children Introduction: Pancreatic tumors in childhood are rare and diverse. Among them, pancreatoblastoma is the most common pancreatic tumor in young children, followed by the solid pseudopapillary tumor (SPT), which is an uncommon neoplasm characterized by low potential for malignancy that mainly occurs in young women. Complete surgical resection is the treatment of choice. Following the advances in minimally invasive surgery, laparoscopic distal pancreatectomy appears to be feasible and safe in children. Objective: To report a case of a child with SPT to create awareness on this topic and update its surgical management. Case report: The case of a 10 year old boy carrying a pancreatic tumor, who sought medical attention due to abdominal pain after minor trauma, is reported. Ultrasonography and CT scan of the abdomen showed an 8 cm tumor in the body and tail of the pancreas, no metastases. The alpha-fetoprotein was normal. Laparoscopic corporocaudal pan-createctomy and splenectomy were performed, and the patient was discharged on the sixth postoperative day without incident. Biopsy confirmed SPT. Discussion: This study exposes the characteristics and classification of pancreatic tumors in childhood. In particular, SPT is discussed regarding diagnosis and the advantages of minimally invasive surgery as part of the treatment.(Key words: Tumor, pancreas, pancreatectomy, laparoscopic, children).Rev Chil Pediatr 2013; 84 (4): 417-424RESUMENIntroduccion: Los tumores pancreaticos en la infancia son infrecuentes y diversos. Dentro de ellos, el pan-creatoblastoma es el mas frecuente en ninos pequenos, seguido por el tumor solido pseudopapilar (TSP), que es una neoplasia de bajo grado de malignidad que predomina en ninas y mujeres jovenes. La reseccion quirurgica completa, es su tratamiento de eleccion. En la medida del progreso de la cirugia minimamente in-vasiva , la pancreatectomia laparoscopica parece ser factible y segura en ninos. Objetivo: Comunicar el caso clinico de un nino con TSP para alertar sobre esta patologia y actualizar acerca de su manejo quirurgico. Caso
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