Inflammatory myofibroblastic tumors of the pancreas in children: A case report and literature review

Hsien Kuan Liu, Yung Cheng Lin, Ming Lun Yeh, Yaw Sen Chen, Yu Tsun Su, Ching Chung Tsai*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

16 Scopus citations

Abstract

Introduction: Inflammatory myofibroblastic tumors are an uncommon neoplasm, which are very rarely located in the pancreas. Clinically and radiologically, this rare pancreatic tumor presents as an abdominal mass lesion that mimics other pancreatic tumors, and should therefore be considered in the differential diagnosis of pancreatic tumors. Clinical Findings and diagnosis: The 15-year-old boy complained of abdominal pain over the left upper quadrant with intermittent fever for 7 days. Abdominal sonography revealed one cystic lesion with a hyperechoic component in the left upper quadrant of the abdomen. Surgical excision was performed and postoperative findings indicated a pancreatic tail tumor. The pathology indicated inflammatory myofibroblastic tumors. To our knowledge, this patient is a unique case as the tumor was located in the pancreatic tail only, sparing the body. Interventions and outcomes: The patient underwent tumor resection and segmental resection of the transverse colon with simple closure. The patient had no evidence of disease recurrence at 3 years follow-up. Conclusion: Inflammatory myofibroblastic tumors of the pancreas in children are extremely rare. Surgical excision is the standard treatment, and corticosteroids use in children need more large-scale studies.

Original languageEnglish
Article numbere5870
JournalMedicine (United States)
Volume96
Issue number2
DOIs
StatePublished - 2017
Externally publishedYes

Bibliographical note

Publisher Copyright:
Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc.

Keywords

  • Case report
  • Child
  • Inflammatory pseudotumor
  • Pancreas

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